CLIA lab
CLIA 11D2335344: Lifeline Medical Center
Stone Mountain, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2335344 belongs to Lifeline Medical Center in Stone Mountain, GA.
Certificate of Waiver, effective December 10, 2025, expires December 9, 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 10, 2025
- Certificate expiration
- December 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 10, 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
- 11D2335344
- Lab name
- Lifeline Medical Center
- Address
- 4190 Stone Mountain Highway, Suite A, Stone Mountain, GA 30083
- Phone
- (770) 545-8332
- Fax
- (770) 545-8334
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- E Z Transport EMSCertificate of Waiver, Ambulance11D2297691
Related
Questions
What is the CLIA number for Lifeline Medical Center in Stone Mountain?
11D2335344, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lifeline Medical Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2335344 expire?
The CMS file lists December 9, 2027 as the certificate expiration date; the certificate took effect December 10, 2025.