CLIA lab

CLIA 11D2313820: Manor Lake Hickory Flat

Woodstock, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D2313820 belongs to Manor Lake Hickory Flat in Woodstock, GA.

Certificate of Waiver, effective November 7, 2024, expires November 6, 2026.

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
November 7, 2024
Certificate expiration
November 6, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 7, 2024
Facility type
Assisted living facility
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
11D2313820
Lab name
Manor Lake Hickory Flat
Address
7200 Hickory Flat Highway, Woodstock, GA 30188
Phone
(770) 236-8000
Fax
(678) 960-6828

Annual test volume the lab reported

Waived tests
832

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 Manor Lake Hickory Flat in Woodstock?

11D2313820, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Manor Lake Hickory Flat hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2313820 expire?

The CMS file lists November 6, 2026 as the certificate expiration date; the certificate took effect November 7, 2024.

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