CLIA lab

CLIA 11D0952880: Wellstar Medical Group Urology- Austell

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

CLIA number 11D0952880 belongs to Wellstar Medical Group Urology- Austell in Austell, GA.

Certificate for Provider-Performed Microscopy Procedures, effective October 21, 2026, expires October 20, 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 for Provider-Performed Microscopy Procedures
Certificate effective
October 21, 2026
Certificate expiration
October 20, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 21, 1998
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D0952880
Lab name
Wellstar Medical Group Urology- Austell
Address
1700 Hospital South Drive, Suite 404, Austell, GA 30106
Phone
(770) 944-8742
Fax
(770) 948-1275

Annual test volume the lab reported

Waived tests
5,805

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

Affiliated CLIA numbers

Other labs in Austell, GA

Related

Questions

What is the CLIA number for Wellstar Medical Group Urology- Austell in Austell?

11D0952880, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Wellstar Medical Group Urology- Austell hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 11D0952880 expire?

The CMS file lists October 20, 2028 as the certificate expiration date; the certificate took effect October 21, 2026.

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