CLIA lab
CLIA 11D1081430: Healthstat Incorporate on Site Clinic
Nicholls, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1081430 belongs to Healthstat Incorporate on Site Clinic in Nicholls, GA.
Certificate of Waiver, effective March 18, 2026, expires March 17, 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
- March 18, 2026
- Certificate expiration
- March 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 18, 2008
- Facility type
- Other
- Ownership (control type)
- Proprietary
- 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
- 11D1081430
- Lab name
- Healthstat Incorporate on Site Clinic
- Additional name
- Milliken Alma
- Address
- Route 1 Box 92 Highway 32 West, Nicholls, GA 31554
- 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.
Other labs in Nicholls, GA
- Coffee Correctional FacilityCertificate of Waiver, Other11D0954240
- Nicholls Family HealthcareCertificate of Waiver, Rural health clinic11D2133713
- Nicholls Pharmacy, LLCCertificate of Waiver, Pharmacy11D2172728
- SLB Diagnostic SolutionCertificate of Waiver, Independent11D2325999
- South East EMS LLCCertificate of Waiver, Ambulance11D2345603
Related
Questions
What is the CLIA number for Healthstat Incorporate on Site Clinic in Nicholls?
11D1081430, 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 11D1081430 expire?
The CMS file lists March 17, 2028 as the certificate expiration date; the certificate took effect March 18, 2026.