CLIA lab
CLIA 11D0987106: Wellstar Acworth Family Practice
Acworth, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0987106 belongs to Wellstar Acworth Family Practice in Acworth, GA.
Certificate of Waiver, effective May 29, 2025, expires May 28, 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
- May 29, 2025
- Certificate expiration
- May 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 29, 2001
- 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
- 11D0987106
- Lab name
- Wellstar Acworth Family Practice
- Address
- 4550 Cobb Parkway, North, Suite 201 A, Acworth, GA 30101
- Phone
- (770) 974-4655
- Fax
- (770) 974-1970
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 Acworth, GA
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- Acworth Dermatology & Skin CancerCertificate of Compliance, Physician office11D2086982
- Acworth Family EyecareCertificate of Waiver, Physician office11D2146581
- Acworth Primary HealthcareCertificate of Waiver, Physician office11D0993631
- Addiction Treatment Center of AtlantaCertificate of Registration, Physician office11D2307608
- American Clinical TrialsCertificate of Waiver, Physician office11D2204597
- Assured Hospice Care, LLCCertificate of Waiver, Hospice11D1091870
- Bio-Medical Applications of Georgia IncCertificate of Waiver, End stage renal disease dialysis facility11D2037114
- Celebration Village AcworthCertificate of Waiver, Assisted living facility11D2125687
- Center for Spine Interventions ASC 3, LLCCertificate of Waiver, Physician office11D2125680
Related
Questions
What is the CLIA number for Wellstar Acworth Family Practice in Acworth?
11D0987106, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wellstar Acworth Family Practice hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0987106 expire?
The CMS file lists May 28, 2027 as the certificate expiration date; the certificate took effect May 29, 2025.