CLIA lab
CLIA 11D0257390: Wellstar Sylvan Grove Hospital
Jackson, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0257390 belongs to Wellstar Sylvan Grove Hospital in Jackson, GA.
Certificate of Compliance, effective March 22, 2025, expires March 21, 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 Compliance
- Certificate effective
- March 22, 2025
- Certificate expiration
- March 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Hospital
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D0257390
- Lab name
- Wellstar Sylvan Grove Hospital
- Address
- 1050 Mcdonough Road, Jackson, GA 30233
- Phone
- (470) 251-6431
- Fax
- (770) 775-2972
Annual test volume the lab reported
- Waived tests
- 10,359
- Other nonwaived tests
- 18,702
- Total
- 29,061
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Wellstar Sylvan Grove Medical CenterCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Jackson, GA
- Atlanta Heart AssociatesCertificate of Waiver, Physician office11D2003503
- Aylo Health - JacksonCertificate of Accreditation, Physician office11D1058715
- BHG Lii, LLC, DBA BHG Jackson Treatment CenterCertificate of Waiver, Other11D1036497
- BHG Lxvi, LLC DBA BHG Medical Services - GeorgiaCertificate of Waiver, Other11D2300571
- Bennie R White Junior MD IncorporatedCertificate of Waiver, Physician office11D1058495
- Butts County Fire DepartmentCertificate of Waiver, Ambulance11D2245568
- Butts County JailCertificate of Waiver, Other11D2284808
- Butts County Pregnancy CenterCertificate of Waiver, Other11D2102551
- Central Hospice, LLCCertificate of Waiver, Hospice11D2302750
- Dream Cantcher Farm PCHCertificate of Waiver, Other11D0984619
Related
Questions
What is the CLIA number for Wellstar Sylvan Grove Hospital in Jackson?
11D0257390, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wellstar Sylvan Grove Hospital hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 11D0257390 expire?
The CMS file lists March 21, 2027 as the certificate expiration date; the certificate took effect March 22, 2025.