CLIA lab
CLIA 11D2316892: Center for Authentic Life & Relationship,llc
Kennesaw, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2316892 belongs to Center for Authentic Life & Relationship,llc in Kennesaw, GA.
Certificate of Waiver, effective January 14, 2025, expires January 13, 2027.
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
- January 14, 2025
- Certificate expiration
- January 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 14, 2025
- 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
- 11D2316892
- Lab name
- Center for Authentic Life & Relationship,llc
- Address
- 1301 Shiloh Road NW, Suite 530, Kennesaw, GA 30144
- Phone
- (678) 516-6902
- Fax
- (470) 401-1090
Annual test volume the lab reported
- Waived tests
- 120
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 Center for Authentic Life & Relationship,llc in Kennesaw?
11D2316892, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Center for Authentic Life & Relationship,llc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2316892 expire?
The CMS file lists January 13, 2027 as the certificate expiration date; the certificate took effect January 14, 2025.