CLIA lab

CLIA 11D0263738: Jasper Memorial Hospital

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

CLIA number 11D0263738 belongs to Jasper Memorial Hospital in Monticello, GA.

Certificate of Compliance, effective June 28, 2026, expires June 27, 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 Compliance
Certificate effective
June 28, 2026
Certificate expiration
June 27, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Hospital
Ownership (control type)
Government, county
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
11D0263738
Lab name
Jasper Memorial Hospital
Address
898 College Street, Monticello, GA 31064
Phone
(706) 468-4511
Fax
(706) 468-9812

Annual test volume the lab reported

Waived tests
4,706
Other nonwaived tests
95,429
Total
100,135

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Other labs in Monticello, GA

Related

Questions

What is the CLIA number for Jasper Memorial Hospital in Monticello?

11D0263738, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jasper Memorial Hospital hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 11D0263738 expire?

The CMS file lists June 27, 2028 as the certificate expiration date; the certificate took effect June 28, 2026.

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