CLIA lab
CLIA 11D2335257: Vital Roots Direct Primary Care
Raymond, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2335257 belongs to Vital Roots Direct Primary Care in Raymond, GA.
Certificate of Waiver, effective December 9, 2025, expires December 8, 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
- December 9, 2025
- Certificate expiration
- December 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 9, 2025
- Facility type
- Physician office
- 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
- 11D2335257
- Lab name
- Vital Roots Direct Primary Care
- Address
- 6 Jefferson Parkway, Suite E, Raymond, GA 30263
- Phone
- (404) 905-7994
- Fax
- (770) 727-3421
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Vital Roots Direct Primary Care in Raymond?
11D2335257, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vital Roots Direct Primary Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2335257 expire?
The CMS file lists December 8, 2027 as the certificate expiration date; the certificate took effect December 9, 2025.