CLIA lab
CLIA 11D1074239: Wellstar Northwest Ga Oncology Jasper
Jasper, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1074239 belongs to Wellstar Northwest Ga Oncology Jasper in Jasper, GA.
Certificate of Compliance, effective October 28, 2025, expires October 27, 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 Compliance
- Certificate effective
- October 28, 2025
- Certificate expiration
- October 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 11D1074239
- Lab name
- Wellstar Northwest Ga Oncology Jasper
- Address
- 1020 J L White Drive, Suite 160, Jasper, GA 30143
- Phone
- (706) 692-8705
- Fax
- (678) 581-7172
Annual test volume the lab reported
- Waived tests
- 325
- Other nonwaived tests
- 24,000
- Total
- 24,325
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Jasper, GA
- Advanced Urology Institute of Georgia, LLCCertificate of Waiver, Physician office11D2318645
- Airlife ThreeCertificate of Waiver, Ambulance11D2020272
- Amedisys Northwest, LLCCertificate of Waiver, Home health agency11D0695853
- Appalachian Hospice South, LLCCertificate of Waiver, Hospice11D2288607
- Aqua Dermatology of Georgia, PCCertificate of Waiver, Physician office11D2348693
- Big Canoe Public SafetyCertificate of Waiver, Other11D2198893
- City of Jasper Fire DepartmentCertificate of Waiver, Other11D2288324
- Digestive Healthcare of GeorgiaCertificate of Waiver, Physician office11D2120245
- Digestive Healthcare of Georgia Endoscopy CenterCertificate of Waiver, Ambulatory surgery center11D1091226
- Dragon Care/ Good Samaritan HealthCertificate of Waiver, Federally qualified health center11D2328077
Related
Questions
What is the CLIA number for Wellstar Northwest Ga Oncology Jasper in Jasper?
11D1074239, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wellstar Northwest Ga Oncology Jasper hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 11D1074239 expire?
The CMS file lists October 27, 2027 as the certificate expiration date; the certificate took effect October 28, 2025.