CLIA lab
CLIA 11D2307410: Primary Care PLLC (Clinic 5622)
Dallas, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2307410 belongs to Primary Care PLLC (Clinic 5622) in Dallas, GA.
Certificate of Waiver, effective July 9, 2026, expires July 8, 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
- July 9, 2026
- Certificate expiration
- July 8, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 9, 2024
- Facility type
- Other
- 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
- 11D2307410
- Lab name
- Primary Care PLLC (Clinic 5622)
- Address
- 495 Charles Hardy Parkway, Dallas, GA 30157
- Phone
- (866) 389-2727
- Fax
- (404) 765-7887
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Dallas, GA
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- Advanced Urology Institute of Georgia, PCCertificate of Waiver, Physician office11D2338686
- Allcare DallasCertificate of Waiver, Physician office11D2227370
- Amazing Grace Hospice Care, LLCCertificate of Waiver, Hospice11D2286245
- Anna Chos LLC DBA Anna Chos Urgent ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office11D2343709
- Aqua Dermatology of Georgia - HiramCertificate of Compliance, Physician office11D2235821
- Blue Ridge Care Center, LLCCertificate of Waiver, Skilled nursing or nursing facility11D2326792
- C&C Pharmacy, IncCertificate of Waiver, Pharmacy11D2183259
- CPM Sugery Center 2, LLCCertificate of Waiver, Ambulatory surgery center11D1099264
- Carelink of Northwest Georgia, IncCertificate of Waiver, Community clinic11D2155672
Related
Questions
What is the CLIA number for Primary Care PLLC (Clinic 5622) in Dallas?
11D2307410, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Primary Care PLLC (Clinic 5622) hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2307410 expire?
The CMS file lists July 8, 2028 as the certificate expiration date; the certificate took effect July 9, 2026.