CLIA lab
CLIA 11D1072858: Healthstat Incorporate on Site Clinic
Lagrange, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1072858 belongs to Healthstat Incorporate on Site Clinic in Lagrange, GA.
Certificate of Waiver, effective August 27, 2025, expires August 26, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 27, 2025
- Certificate expiration
- August 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 27, 2007
- 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
- 11D1072858
- Lab name
- Healthstat Incorporate on Site Clinic
- Additional name
- Milliken Live Oak
- Address
- 300 Lukken Industrial Drive W, Lagrange, GA 30240
- 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 Lagrange, GA
- Absolute Solutions, LLCCertificate of Waiver, Other11D2020102
- Adoration Home Health of Columbus, LLCCertificate of Waiver, Home health agency11D2023224
- Air Evac 77Certificate of Waiver, Ambulance11D1088184
- Andre D Feria, MD, PCCertificate of Waiver, Physician office11D2174010
- Apex Medical Surgery Center, LLCCertificate of Waiver, Ambulatory surgery center11D2110521
- Children's Clinic, theCertificate of Compliance, Physician office11D0257514
- Crossroads Treatment Center of Lagrange, PCCertificate of Waiver, Other11D2090543
- DR Brent Brown and Associates IncorporatedCertificate of Waiver, Physician office11D1099649
- Dialysis Care Center Lagrange, LLCCertificate of Waiver, End stage renal disease dialysis facility11D2293284
- Dialysis Care Center Troup CountyCertificate of Waiver, End stage renal disease dialysis facility11D2321179
Related
Questions
What is the CLIA number for Healthstat Incorporate on Site Clinic in Lagrange?
11D1072858, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Healthstat Incorporate on Site Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1072858 expire?
The CMS file lists August 26, 2027 as the certificate expiration date; the certificate took effect August 27, 2025.