CLIA lab
CLIA 11D1054834: Johns Hopkins Wellness CTR at PBG Stone Mountain
Stone Mountain, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1054834 belongs to Johns Hopkins Wellness CTR at PBG Stone Mountain in Stone Mountain, GA.
Certificate of Waiver, effective June 1, 2026, expires May 31, 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
- June 1, 2026
- Certificate expiration
- May 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 1, 2006
- Facility type
- Industrial
- Ownership (control type)
- Private
- 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
- 11D1054834
- Lab name
- Johns Hopkins Wellness CTR at PBG Stone Mountain
- Address
- 1644 Rock Mountain Boulevard, Stone Mountain, GA 30083
- Phone
- (770) 510-7336
- Fax
- (770) 510-7420
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Centerwell Senior Primary Care - Stone MountainCertificate of Waiver, Physician office11D2255911
- Certivia Laboratories, LLCCertificate of Accreditation, Independent11D2168354
- Cobblestone Assisted Living at Park SpringsCertificate of Waiver, Assisted living facility11D2134406
- Dedicated Laboratory on the MoveCertificate of Waiver, Independent11D2344585
- Denali Health Atlanta, LLCCertificate of Waiver, Physician office11D2325627
- E Z Transport EMSCertificate of Waiver, Ambulance11D2297691
Related
Questions
What is the CLIA number for Johns Hopkins Wellness CTR at PBG Stone Mountain in Stone Mountain?
11D1054834, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Johns Hopkins Wellness CTR at PBG Stone Mountain hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1054834 expire?
The CMS file lists May 31, 2028 as the certificate expiration date; the certificate took effect June 1, 2026.