CLIA lab

CLIA 11D0254112: Wellstar Ob/Gyn Mulkey

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

CLIA number 11D0254112 belongs to Wellstar Ob/Gyn Mulkey in Austell, GA.

Certificate for Provider-Performed Microscopy Procedures, effective November 2, 2025, expires November 1, 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 for Provider-Performed Microscopy Procedures
Certificate effective
November 2, 2025
Certificate expiration
November 1, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Ancillary test site
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D0254112
Lab name
Wellstar Ob/Gyn Mulkey
Address
1791 Mulkey Rd Ste 200, Austell, GA 30106
Phone
(770) 732-5400
Fax
(770) 944-0327

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Related

Questions

What is the CLIA number for Wellstar Ob/Gyn Mulkey in Austell?

11D0254112, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Wellstar Ob/Gyn Mulkey hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 11D0254112 expire?

The CMS file lists November 1, 2027 as the certificate expiration date; the certificate took effect November 2, 2025.

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