CLIA lab

CLIA 11D2331227: Provital Screening Solutions, LLC

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

CLIA number 11D2331227 belongs to Provital Screening Solutions, LLC in East Point, GA.

Certificate of Waiver, effective September 29, 2025, expires September 28, 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
September 29, 2025
Certificate expiration
September 28, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 29, 2025
Facility type
Mobile lab
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
11D2331227
Lab name
Provital Screening Solutions, LLC
Address
3401 Norman Berry Drive, Suite 256, East Point, GA 30344
Phone
(866) 977-6848

Annual test volume the lab reported

Waived tests
3,000

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 Provital Screening Solutions, LLC in East Point?

11D2331227, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Provital Screening Solutions, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2331227 expire?

The CMS file lists September 28, 2027 as the certificate expiration date; the certificate took effect September 29, 2025.

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