CLIA lab
CLIA 11D2314465: Vitality Health and Glow Clinic
Hiram, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2314465 belongs to Vitality Health and Glow Clinic in Hiram, GA.
Certificate of Waiver, effective November 20, 2024, expires November 19, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- November 20, 2024
- Certificate expiration
- November 19, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 20, 2024
- Facility type
- Other practitioner
- 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
- 11D2314465
- Lab name
- Vitality Health and Glow Clinic
- Address
- 44 Darbys Crossing Drive, Suite 110A, Hiram, GA 30141
- Phone
- (770) 575-0022
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Hiram, GA
- Aga LLCCertificate of Waiver, Physician office11D1085041
- American Health Imaging of HiramCertificate of Waiver, Independent11D2125729
- Atlanta Kidney and Hypertension AssociatesCertificate for Provider-Performed Microscopy Procedures, Physician office11D1095730
- Center for Allergy and Asthma of West Ga, PCCertificate of Waiver, Physician office11D2007451
- Children's Medical Associate, LLCCertificate of Waiver, Physician office11D0254146
- Cobbwest Internal Medicine Associates, LLCCertificate of Waiver, Physician office11D2059133
- FP- Peachtree Immediate Care - HirCertificate of Waiver, Physician office11D1043488
- Fresenius Medical Care HiramCertificate of Waiver, End stage renal disease dialysis facility11D2008298
- Georgia Kidney Associates, IncCertificate for Provider-Performed Microscopy Procedures, Physician office11D2230320
- Georgia Pain and Spine Solutions, PCCertificate of Waiver, Physician office11D2154585
Related
Questions
What is the CLIA number for Vitality Health and Glow Clinic in Hiram?
11D2314465, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vitality Health and Glow Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2314465 expire?
The CMS file lists November 19, 2026 as the certificate expiration date; the certificate took effect November 20, 2024.