CLIA lab
CLIA 11D1053866: Brookside Glen Assisted Living
Columbus, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1053866 belongs to Brookside Glen Assisted Living in Columbus, GA.
Certificate of Waiver, effective May 8, 2026, expires May 7, 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 8, 2026
- Certificate expiration
- May 7, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 8, 2006
- Facility type
- Other
- 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
- 11D1053866
- Lab name
- Brookside Glen Assisted Living
- Address
- 400 Bradley Park Drive, Columbus, GA 31904
- Phone
- (706) 322-3040
- Fax
- (706) 871-0167
Annual test volume the lab reported
- Waived tests
- 2,184
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Columbus, GA
- 1st Choice Labs and Screenings, LLCCertificate of Waiver, Mobile lab11D2278594
- Acute Care EmergenceCertificate of Waiver, Physician office11D2146526
- Advanced Healthcare & Injury CenterCertificate of Waiver, Physician office11D2206985
- Affinis Hospice, LLCCertificate of Waiver, Hospice11D2167347
- Aflac Care CenterCertificate of Waiver, Other11D2092689
- Aflac Care CenterCertificate of Waiver, Other11D2092698
- Allergy Center at Brookstone, theCertificate of Waiver, Physician office11D2306309
- Alzheimers Research and Treatment CenterCertificate of Waiver, Physician office11D1097734
- Ambulatory Plastic Surgery Center IncorporateCertificate of Waiver, Ambulatory surgery center11D1040015
- Any Lab Test - ColumbusCertificate of Waiver, Other11D2137360
Related
Questions
What is the CLIA number for Brookside Glen Assisted Living in Columbus?
11D1053866, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Brookside Glen Assisted Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1053866 expire?
The CMS file lists May 7, 2028 as the certificate expiration date; the certificate took effect May 8, 2026.