CLIA lab
CLIA 11D1075609: Hlthstat On-Site Clinic (Southeastern Paper-Atl)
College Park, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1075609 belongs to Hlthstat On-Site Clinic (Southeastern Paper-Atl) in College Park, GA.
Certificate of Waiver, effective October 24, 2025, expires October 23, 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
- October 24, 2025
- Certificate expiration
- October 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 24, 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
- 11D1075609
- Lab name
- Hlthstat On-Site Clinic (Southeastern Paper-Atl)
- Address
- 2400A Sullivan Road, College Park, GA 30337
- Phone
- (704) 529-6161
- Fax
- (704) 831-6097
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in College Park, GA
- A Vision 4 Hope, IncCertificate of Waiver, Other11D2133446
- Aica Orthopedics, PCCertificate of Waiver, Physician office11D2191752
- Alpha Comfort Care IncCertificate of Waiver, Hospice11D2320254
- Ankle & Foot Centers of Georgia, LLCCertificate of Compliance, Physician office11D2262519
- Annabelle Fields Wellness CenterCertificate of Waiver, Community clinic11D2318590
- Apogee Womens Health IncorporateCertificate for Provider-Performed Microscopy Procedures, Physician office11D1045378
- Arc EMS LLCCertificate of Waiver, Ambulance11D2344429
- Bio-Medical Applications of Ga, IncCertificate of Waiver, End stage renal disease dialysis facility11D0662501
- Biotech Clinical Research LLCCertificate of Waiver, Other11D2319179
- Bridge Medical TransportCertificate of Waiver, Ambulance11D2327907
Related
Questions
What is the CLIA number for Hlthstat On-Site Clinic (Southeastern Paper-Atl) in College Park?
11D1075609, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hlthstat On-Site Clinic (Southeastern Paper-Atl) hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1075609 expire?
The CMS file lists October 23, 2027 as the certificate expiration date; the certificate took effect October 24, 2025.