CLIA lab

CLIA 11D2317438: Heather Ivy Society

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

CLIA number 11D2317438 belongs to Heather Ivy Society in Forest Park, GA.

Certificate of Waiver, effective January 24, 2025, expires January 23, 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 24, 2025
Certificate expiration
January 23, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 24, 2025
Facility type
Community clinic
Ownership (control type)
Private
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
11D2317438
Lab name
Heather Ivy Society
Address
381 Forest Parkway, Suite B, Forest Park, GA 30297
Phone
(844) 884-9691
Fax
(404) 907-4052

Annual test volume the lab reported

Waived tests
800

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Forest Park, GA

Related

Questions

What is the CLIA number for Heather Ivy Society in Forest Park?

11D2317438, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Heather Ivy Society hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2317438 expire?

The CMS file lists January 23, 2027 as the certificate expiration date; the certificate took effect January 24, 2025.

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