CLIA lab

CLIA 11D0996850: Good Samaritan Health and Wellness Center

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

CLIA number 11D0996850 belongs to Good Samaritan Health and Wellness Center in Jasper, GA.

Certificate of Waiver, effective February 28, 2026, expires February 28, 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 of Waiver
Certificate effective
February 28, 2026
Certificate expiration
February 28, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 28, 2002
Facility type
Federally qualified health center
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
11D0996850
Lab name
Good Samaritan Health and Wellness Center
Address
175 Samaritan Drive, Jasper, GA 30143
Phone
(706) 253-4673
Fax
(706) 253-4675

Annual test volume the lab reported

Waived tests
1,200

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

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Related

Questions

What is the CLIA number for Good Samaritan Health and Wellness Center in Jasper?

11D0996850, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Good Samaritan Health and Wellness Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D0996850 expire?

The CMS file lists February 28, 2028 as the certificate expiration date; the certificate took effect February 28, 2026.

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