CLIA lab

CLIA 11D0999120: Wellstar Paulding Hospital Nursing

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

CLIA number 11D0999120 belongs to Wellstar Paulding Hospital Nursing in Dallas, GA.

Certificate of Waiver, effective May 6, 2026, expires May 5, 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
May 6, 2026
Certificate expiration
May 5, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 6, 2002
Facility type
Hospital
Ownership (control type)
Private
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
11D0999120
Lab name
Wellstar Paulding Hospital Nursing
Address
600 W Memorial Drive, Attn Lab, Dallas, GA 30132
Phone
(770) 443-4778
Fax
(770) 443-4738

Annual test volume the lab reported

Waived tests
20,000

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

Affiliated CLIA numbers

Other labs in Dallas, GA

Related

Questions

What is the CLIA number for Wellstar Paulding Hospital Nursing in Dallas?

11D0999120, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Wellstar Paulding Hospital Nursing hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D0999120 expire?

The CMS file lists May 5, 2028 as the certificate expiration date; the certificate took effect May 6, 2026.

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