CLIA lab

CLIA 11D2345847: BJK Specimen LLC

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

CLIA number 11D2345847 belongs to BJK Specimen LLC in Villa Rica, GA.

Certificate of Waiver, effective June 18, 2026, expires June 17, 2028.

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
June 18, 2026
Certificate expiration
June 17, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 18, 2026
Facility type
Other practitioner
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
11D2345847
Lab name
BJK Specimen LLC
Address
1836 Carrollton Villa Rica Highway, Suite 110, Villa Rica, GA 30180
Phone
(404) 410-6800
Fax
(404) 410-6800

Annual test volume the lab reported

Waived tests
100

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 BJK Specimen LLC in Villa Rica?

11D2345847, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does BJK Specimen LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2345847 expire?

The CMS file lists June 17, 2028 as the certificate expiration date; the certificate took effect June 18, 2026.

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