CLIA lab

CLIA 11D0975645: Jasmine Jeffers MD LLC, Westside Med Assoc

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

CLIA number 11D0975645 belongs to Jasmine Jeffers MD LLC, Westside Med Assoc in Austell, GA.

Certificate of Waiver, effective April 18, 2025, expires April 17, 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
April 18, 2025
Certificate expiration
April 17, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 13, 2000
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
11D0975645
Lab name
Jasmine Jeffers MD LLC, Westside Med Assoc
Address
3825 Medical Park Drive, Suite 300, Austell, GA 30106
Phone
(770) 941-4810
Fax
(770) 948-9149

Annual test volume the lab reported

Waived tests
2,000

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

Other labs in Austell, GA

Related

Questions

What is the CLIA number for Jasmine Jeffers MD LLC, Westside Med Assoc in Austell?

11D0975645, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jasmine Jeffers MD LLC, Westside Med Assoc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D0975645 expire?

The CMS file lists April 17, 2027 as the certificate expiration date; the certificate took effect April 18, 2025.

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