CLIA lab
CLIA 11D0704799: PPG at Mountainside FM
Jasper, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0704799 belongs to PPG at Mountainside FM in Jasper, GA.
Certificate of Waiver, effective March 1, 2026, expires February 29, 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
- March 1, 2026
- Certificate expiration
- February 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- 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
- 11D0704799
- Lab name
- PPG at Mountainside FM
- Address
- 1020 Jl White Drive, Suite 170, Jasper, GA 30143
- Phone
- (706) 692-2437
- Fax
- (706) 692-6869
Annual test volume the lab reported
- Waived tests
- 15,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jasper, GA
- Advanced Urology Institute of Georgia, LLCCertificate of Waiver, Physician office11D2318645
- Airlife ThreeCertificate of Waiver, Ambulance11D2020272
- Amedisys Northwest, LLCCertificate of Waiver, Home health agency11D0695853
- Appalachian Hospice South, LLCCertificate of Waiver, Hospice11D2288607
- Aqua Dermatology of Georgia, PCCertificate of Waiver, Physician office11D2348693
- Big Canoe Public SafetyCertificate of Waiver, Other11D2198893
- City of Jasper Fire DepartmentCertificate of Waiver, Other11D2288324
- Digestive Healthcare of GeorgiaCertificate of Waiver, Physician office11D2120245
- Digestive Healthcare of Georgia Endoscopy CenterCertificate of Waiver, Ambulatory surgery center11D1091226
- Dragon Care/ Good Samaritan HealthCertificate of Waiver, Federally qualified health center11D2328077
Related
Questions
What is the CLIA number for PPG at Mountainside FM in Jasper?
11D0704799, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does PPG at Mountainside FM hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0704799 expire?
The CMS file lists February 29, 2028 as the certificate expiration date; the certificate took effect March 1, 2026.