CLIA lab
CLIA 11D1026159: Grovepark Dialysis
Jackson, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1026159 belongs to Grovepark Dialysis in Jackson, GA.
Certificate of Waiver, effective May 27, 2026, expires May 26, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- May 27, 2026
- Certificate expiration
- May 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 27, 2004
- Facility type
- End stage renal disease dialysis 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
- 11D1026159
- Lab name
- Grovepark Dialysis
- Address
- 794 Mcdonough Road, Jackson, GA 30233
- Phone
- (770) 504-0365
- Fax
- (770) 504-8761
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Grovepark DialysisCMS Care Compare ratings for the facility at the same street address
Other labs in Jackson, GA
- Atlanta Heart AssociatesCertificate of Waiver, Physician office11D2003503
- Aylo Health - JacksonCertificate of Accreditation, Physician office11D1058715
- BHG Lii, LLC, DBA BHG Jackson Treatment CenterCertificate of Waiver, Other11D1036497
- BHG Lxvi, LLC DBA BHG Medical Services - GeorgiaCertificate of Waiver, Other11D2300571
- Bennie R White Junior MD IncorporatedCertificate of Waiver, Physician office11D1058495
- Butts County Fire DepartmentCertificate of Waiver, Ambulance11D2245568
- Butts County JailCertificate of Waiver, Other11D2284808
- Butts County Pregnancy CenterCertificate of Waiver, Other11D2102551
- Central Hospice, LLCCertificate of Waiver, Hospice11D2302750
- Dream Cantcher Farm PCHCertificate of Waiver, Other11D0984619
Related
Questions
What is the CLIA number for Grovepark Dialysis in Jackson?
11D1026159, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grovepark Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1026159 expire?
The CMS file lists May 26, 2028 as the certificate expiration date; the certificate took effect May 27, 2026.