CLIA lab
CLIA 11D2325392: Glen at Lake Oconee Village, the
Greensboro, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2325392 belongs to Glen at Lake Oconee Village, the in Greensboro, GA.
Certificate of Waiver, effective June 11, 2025, expires June 10, 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
- June 11, 2025
- Certificate expiration
- June 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 11, 2025
- 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
- 11D2325392
- Lab name
- Glen at Lake Oconee Village, the
- Address
- 1070 Old Salem Road, Greensboro, GA 30642
- Phone
- (706) 999-3535
- Fax
- (706) 999-3539
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Good Samaritan Primary CareCertificate of Waiver, Physician office11D2045332
- Greene County Emergency Medical ServicesCertificate of Waiver, Ambulance11D2274970
- Greensboro DialysisCertificate of Waiver, End stage renal disease dialysis facility11D0941077
- Greensboro Fire DepartmentCertificate of Waiver, Other11D2349979
- Lake Oconee AcademyCertificate of Waiver, School or student health service11D2237455
Related
Questions
What is the CLIA number for Glen at Lake Oconee Village, the in Greensboro?
11D2325392, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Glen at Lake Oconee Village, the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2325392 expire?
The CMS file lists June 10, 2027 as the certificate expiration date; the certificate took effect June 11, 2025.