CLIA lab
CLIA 11D2305147: Medcor Clinic at Dart Container - Lithonia, Ga
Lithonia, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2305147 belongs to Medcor Clinic at Dart Container - Lithonia, Ga in Lithonia, GA.
Certificate of Waiver, effective May 28, 2026, expires May 27, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- May 28, 2026
- Certificate expiration
- May 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 28, 2024
- Facility type
- Industrial
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2305147
- Lab name
- Medcor Clinic at Dart Container - Lithonia, Ga
- Address
- 2120 Lithonia Industrial Boulevard, Lithonia, GA 30058
- Phone
- (815) 363-9500
- Fax
- (815) 363-9696
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Medcor Clinic at Dart Container - Lithonia, Ga in Lithonia?
11D2305147, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Medcor Clinic at Dart Container - Lithonia, Ga hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2305147 expire?
The CMS file lists May 27, 2028 as the certificate expiration date; the certificate took effect May 28, 2026.