CLIA lab
CLIA 11D2332491: Impact Therapy, LLC
Riverdale, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2332491 belongs to Impact Therapy, LLC in Riverdale, GA.
Certificate of Waiver, effective October 21, 2025, expires October 20, 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
- October 21, 2025
- Certificate expiration
- October 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 21, 2025
- Facility type
- Other
- 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
- 11D2332491
- Lab name
- Impact Therapy, LLC
- Address
- 1837 Highway 138, Riverdale, GA 30296
- Phone
- (404) 662-0504
- Fax
- (470) 579-3154
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.
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- Ahmed Family PracticeCertificate of Waiver, Physician office11D2106082
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- Akstein Eye Center PCCertificate of Waiver, Ambulatory surgery center11D0971472
- Allen Family Healthcare, LLCCertificate of Waiver, Community clinic11D2170256
- Angel's Grace Hospice and Palliative Care LPCertificate of Waiver, Hospice11D2323728
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- Atlanta Detox Center, LLCCertificate of Waiver, Other11D2143139
Related
Questions
What is the CLIA number for Impact Therapy, LLC in Riverdale?
11D2332491, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Impact Therapy, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2332491 expire?
The CMS file lists October 20, 2027 as the certificate expiration date; the certificate took effect October 21, 2025.