CLIA lab

CLIA 11D2329550: Carter Treatment Center, Ince, the

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

CLIA number 11D2329550 belongs to Carter Treatment Center, Ince, the in Fayetteville, GA.

Certificate of Waiver, effective August 30, 2025, expires August 29, 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
August 30, 2025
Certificate expiration
August 29, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 30, 2025
Facility type
Other
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D2329550
Lab name
Carter Treatment Center, Ince, the
Additional name
DBA Imagine Wellness Center
Address
205 Jeff Davis Place, Fayetteville, GA 30214
Phone
(678) 771-8468
Fax
(678) 845-8415

Annual test volume the lab reported

Waived tests
50

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

Affiliated CLIA numbers

Other labs in Fayetteville, GA

Related

Questions

What is the CLIA number for Carter Treatment Center, Ince, the in Fayetteville?

11D2329550, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Carter Treatment Center, Ince, the hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2329550 expire?

The CMS file lists August 29, 2027 as the certificate expiration date; the certificate took effect August 30, 2025.

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