CLIA lab
CLIA 45D0677210: Golden Villa
Atlanta, TX. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 45D0677210 belongs to Golden Villa in Atlanta, TX.
Certificate of Waiver, effective September 1, 2026, expires August 31, 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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 17, 1993
- Facility type
- Skilled nursing or nursing facility
- 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
- 45D0677210
- Lab name
- Golden Villa
- Address
- 1104 South Williams, Atlanta, TX 75551
- Phone
- (903) 796-0290
- Fax
- (903) 796-3976
Annual test volume the lab reported
- Waived tests
- 1,040
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Northeast Texas DialysisCertificate of Waiver, End stage renal disease dialysis facility45D0909951
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Related
Questions
What is the CLIA number for Golden Villa in Atlanta?
45D0677210, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Golden Villa hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 45D0677210 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.