CLIA lab
CLIA 11D1047108: Wellstar Cardiovascular Medicine
Holly Springs, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1047108 belongs to Wellstar Cardiovascular Medicine in Holly Springs, GA.
Certificate of Waiver, effective October 26, 2025, expires October 25, 2027.
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
- October 26, 2025
- Certificate expiration
- October 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 26, 2005
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 15
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D1047108
- Lab name
- Wellstar Cardiovascular Medicine
- Additional name
- #name?
- Address
- 1120 Wellstar Way, Suite 303, Holly Springs, GA 30114
- Phone
- (770) 424-6893
- Fax
- (770) 424-2024
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Holly Springs, GA
- Laureate Medical Group Northside, LLCCertificate of Waiver, Physician office11D2071920
- NW Ga Oncology CTR A Service of Wellstar Cobb HospCertificate of Accreditation, Other11D2205217
- Northside Cherokee Pediatrics Holly SpringsCertificate of Waiver, Physician office11D2049293
- Northside Family Med &urgent Care of Holly SpringsCertificate of Waiver, Other practitioner11D2005985
- Northside Heart Failure Therapy Holly SpringsCertificate of Waiver, Physician office11D2288532
- Northside Holly Springs RadiologyCertificate of Waiver, Other11D2082686
- Northside Towne Lake Primary Care- Holly SpringsCertificate of Waiver, Physician office11D2186883
- Tspmg, Inc - Holly SpringsCertificate for Provider-Performed Microscopy Procedures, Physician office11D2006605
- WMG Cherokee Health Park EndocrinologyCertificate of Waiver, Physician office11D2189377
- WMG Urgent Care Cherokee Health ParkCertificate of Compliance, Physician office11D1100175
Related
Questions
What is the CLIA number for Wellstar Cardiovascular Medicine in Holly Springs?
11D1047108, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wellstar Cardiovascular Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1047108 expire?
The CMS file lists October 25, 2027 as the certificate expiration date; the certificate took effect October 26, 2025.