CLIA lab
CLIA 11D1058990: Healthstat Incorporated on Site Clinic
Trion, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1058990 belongs to Healthstat Incorporated on Site Clinic in Trion, GA.
Certificate of Waiver, effective September 20, 2026, expires September 19, 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
- September 20, 2026
- Certificate expiration
- September 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 20, 2006
- Facility type
- Other
- 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
- 11D1058990
- Lab name
- Healthstat Incorporated on Site Clinic
- Additional name
- Mount Vernon Mills
- Address
- 91 4th Street, Trion, GA 30753
- Phone
- (704) 529-6161
- Fax
- (704) 529-6572
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Trion, GA
- Adventhealth Medical Group at TrionCertificate of Waiver, Physician office11D0935959
- Atrium Health Floyd ChattoogaCertificate of Accreditation, Other11D2289483
- DR Miniyar's Pediatrics - TrionCertificate of Waiver, Physician office11D2120070
- Hays State PrisonCertificate of Waiver, Prison11D2244929
- Walmart Pharmacy 10-756Certificate of Waiver, Pharmacy11D2175300
Related
Questions
What is the CLIA number for Healthstat Incorporated on Site Clinic in Trion?
11D1058990, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Healthstat Incorporated on Site Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1058990 expire?
The CMS file lists September 19, 2028 as the certificate expiration date; the certificate took effect September 20, 2026.