CLIA lab
CLIA 11D0984619: Dream Cantcher Farm PCH
Jackson, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0984619 belongs to Dream Cantcher Farm PCH in Jackson, GA.
Certificate of Waiver, effective March 26, 2025, expires March 25, 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
- March 26, 2025
- Certificate expiration
- March 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 26, 2001
- Facility type
- Other
- 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
- 11D0984619
- Lab name
- Dream Cantcher Farm PCH
- Address
- 286 Four Points Road, Jackson, GA 30233
- Phone
- (770) 775-2794
- Fax
- (770) 775-4767
Annual test volume the lab reported
- Waived tests
- 14,600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jackson, GA
- Atlanta Heart AssociatesCertificate of Waiver, Physician office11D2003503
- Aylo Health - JacksonCertificate of Accreditation, Physician office11D1058715
- BHG Lii, LLC, DBA BHG Jackson Treatment CenterCertificate of Waiver, Other11D1036497
- BHG Lxvi, LLC DBA BHG Medical Services - GeorgiaCertificate of Waiver, Other11D2300571
- Bennie R White Junior MD IncorporatedCertificate of Waiver, Physician office11D1058495
- Butts County Fire DepartmentCertificate of Waiver, Ambulance11D2245568
- Butts County JailCertificate of Waiver, Other11D2284808
- Butts County Pregnancy CenterCertificate of Waiver, Other11D2102551
- Central Hospice, LLCCertificate of Waiver, Hospice11D2302750
- Eternal Faith Hospice and Palliative CareCertificate of Waiver, Hospice11D2029591
Related
Questions
What is the CLIA number for Dream Cantcher Farm PCH in Jackson?
11D0984619, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dream Cantcher Farm PCH hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0984619 expire?
The CMS file lists March 25, 2027 as the certificate expiration date; the certificate took effect March 26, 2025.