CLIA lab
CLIA 11D0254153: Wellstar Cobb Family Medicine
Austell, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0254153 belongs to Wellstar Cobb Family Medicine in Austell, GA.
Certificate for Provider-Performed Microscopy Procedures, effective December 23, 2025, expires December 22, 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
- December 23, 2025
- Certificate expiration
- December 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 11, 1993
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 11D0254153
- Lab name
- Wellstar Cobb Family Medicine
- Address
- 1790 Mulkey Rd SW Ste 8-A, Austell, GA 30106
- Phone
- (770) 944-1830
- Fax
- (770) 739-0260
Annual test volume the lab reported
- Waived tests
- 100
- Provider-performed microscopy tests
- 2,000
- Total
- 2,100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- American Health Imaging of West CobbCertificate of Waiver, Independent11D1092800
- Anderson Mill Center for Nursing and HealingCertificate of Waiver, Skilled nursing or nursing facility11D0668787
- Any Lab TestCertificate of Waiver, Independent11D1079731
- Anytime MD Urgent CareCertificate of Waiver, Physician office11D2132926
- Atlanta Kidney and Hypertension AssociatesCertificate for Provider-Performed Microscopy Procedures, Physician office11D1053467
- Atlanta West Dermatology PCCertificate of Compliance, Physician office11D0724381
- Atria MabletonCertificate of Waiver, Assisted living facility11D0993806
- Austell CbocCertificate of Accreditation, Community clinic11D1008807
Related
Questions
What is the CLIA number for Wellstar Cobb Family Medicine in Austell?
11D0254153, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wellstar Cobb Family Medicine hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D0254153 expire?
The CMS file lists December 22, 2027 as the certificate expiration date; the certificate took effect December 23, 2025.