CLIA lab
CLIA 11D1006249: San Pablo Medical Clinic, LLC
Dalton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1006249 belongs to San Pablo Medical Clinic, LLC in Dalton, GA.
Certificate of Waiver, effective November 13, 2024, expires November 12, 2026.
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
- November 13, 2024
- Certificate expiration
- November 12, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 13, 2002
- Facility type
- Rural health clinic
- Ownership (control type)
- Proprietary
- 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
- 11D1006249
- Lab name
- San Pablo Medical Clinic, LLC
- Address
- 1906 Shields Road, Dalton, GA 30720
- Phone
- (706) 270-5990
- Fax
- (706) 270-5992
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.
Other labs in Dalton, GA
- Adventa Hospice LLC DBA Amedisys Hospice of DaltonCertificate of Waiver, Hospice11D1055107
- Adventhealth Medical Group Cardiology at DaltonCertificate of Waiver, Physician office11D2298483
- Afc Urgent Care-DaltonCertificate of Waiver, Other11D2285146
- All Family CareCertificate of Waiver, Physician office11D2271720
- Associates in Obstetrics & GynecologyCertificate for Provider-Performed Microscopy Procedures, Physician office11D0680730
- Associates in Obstetrics & Gynecology, PCCertificate for Provider-Performed Microscopy Procedures, Physician office11D2227958
- Biotech Labs LLCCertificate of Waiver, Physician office11D2272907
- Blood Assurance - Dalton Donor StationCertificate of Waiver, Blood bank11D0954032
- Braun EyecareCertificate of Waiver, Physician office11D2139912
- Bright Pediatrics, LLCCertificate of Compliance, Physician office11D2007437
Related
Questions
What is the CLIA number for San Pablo Medical Clinic, LLC in Dalton?
11D1006249, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does San Pablo Medical Clinic, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1006249 expire?
The CMS file lists November 12, 2026 as the certificate expiration date; the certificate took effect November 13, 2024.