CLIA lab
CLIA 11D0999614: Pruitthealth - Jasper, LLC
Jasper, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0999614 belongs to Pruitthealth - Jasper, LLC in Jasper, GA.
Certificate of Waiver, effective May 17, 2026, expires May 16, 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 17, 2026
- Certificate expiration
- May 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 17, 2002
- Facility type
- Skilled nursing or nursing facility
- 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
- 11D0999614
- Lab name
- Pruitthealth - Jasper, LLC
- Additional name
- Fdba Mountain Healthcare Center, Inc
- Address
- 1350 East Church Street, Jasper, GA 30143
- Phone
- (706) 253-2441
- Fax
- (706) 253-2453
Annual test volume the lab reported
- Waived tests
- 1,350
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- PruittHealth - JasperCMS Care Compare ratings for the facility at the same street address
Other labs in Jasper, GA
- Advanced Urology Institute of Georgia, LLCCertificate of Waiver, Physician office11D2318645
- Airlife ThreeCertificate of Waiver, Ambulance11D2020272
- Amedisys Northwest, LLCCertificate of Waiver, Home health agency11D0695853
- Appalachian Hospice South, LLCCertificate of Waiver, Hospice11D2288607
- Aqua Dermatology of Georgia, PCCertificate of Waiver, Physician office11D2348693
- Big Canoe Public SafetyCertificate of Waiver, Other11D2198893
- City of Jasper Fire DepartmentCertificate of Waiver, Other11D2288324
- Digestive Healthcare of GeorgiaCertificate of Waiver, Physician office11D2120245
- Digestive Healthcare of Georgia Endoscopy CenterCertificate of Waiver, Ambulatory surgery center11D1091226
- Dragon Care/ Good Samaritan HealthCertificate of Waiver, Federally qualified health center11D2328077
Related
Questions
What is the CLIA number for Pruitthealth - Jasper, LLC in Jasper?
11D0999614, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pruitthealth - Jasper, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0999614 expire?
The CMS file lists May 16, 2028 as the certificate expiration date; the certificate took effect May 17, 2026.