CLIA lab
CLIA 11D0906124: Wellstar Powder Springs Medical Center
Powder Springs, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0906124 belongs to Wellstar Powder Springs Medical Center in Powder Springs, GA.
Certificate of Waiver, effective June 19, 2025, expires June 18, 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 Waiver
- Certificate effective
- June 19, 2025
- Certificate expiration
- June 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 29, 1995
- 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
- 11D0906124
- Lab name
- Wellstar Powder Springs Medical Center
- Address
- 4250 Brownsville Rd, Powder Springs, GA 30127
- Phone
- (678) 567-8000
- Fax
- (770) 439-3555
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Bethesda Medical Group, LLCCertificate of Waiver, Physician office11D2115894
- Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04668Certificate of Waiver, Pharmacy11D2282790
- Kroger Pharmacy #453Certificate of Waiver, Pharmacy11D2098212
- Kroger Pharmacy #456Certificate of Waiver, Pharmacy11D2098259
- L&D Medical CenterCertificate of Waiver, Physician office11D2190379
- Macland DialysisCertificate of Waiver, End stage renal disease dialysis facility11D2140002
- Marietta Dermatology Associates PACertificate for Provider-Performed Microscopy Procedures, Physician office11D0943798
- Marietta Ob/Gyn Affiliates PACertificate for Provider-Performed Microscopy Procedures, Physician office11D0906049
- Piedmont Quickcare at Walgreens of Powder SpringsCertificate of Waiver, Other11D2134137
- Powder Springs Center for Nursing and HealingCertificate of Waiver, Skilled nursing or nursing facility11D0864152
Related
Questions
What is the CLIA number for Wellstar Powder Springs Medical Center in Powder Springs?
11D0906124, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wellstar Powder Springs Medical Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0906124 expire?
The CMS file lists June 18, 2027 as the certificate expiration date; the certificate took effect June 19, 2025.