CLIA lab
CLIA 11D1096180: Brookdalestone Mountain
Stone Mountain, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1096180 belongs to Brookdalestone Mountain in Stone Mountain, GA.
Certificate of Waiver, effective February 26, 2025, expires February 25, 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
- February 26, 2025
- Certificate expiration
- February 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 26, 2009
- Facility type
- Assisted living facility
- 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
- 11D1096180
- Lab name
- Brookdalestone Mountain
- Address
- 1745 Parke Plaza Circle, Stone Mountain, GA 30087
- Phone
- (678) 341-2340
- Fax
- (770) 469-5711
Annual test volume the lab reported
- Waived tests
- 900
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Stone Mountain, GA
- Abc Pediatric Group PCCertificate of Waiver, Physician office11D1056958
- CSL Plasma, Inc - Stone MountainCertificate of Compliance, Other11D2074466
- Center for Spine and Pain MedicineCertificate of Accreditation, Physician office11D1054832
- Centerwell Senior Primary Care - Stone MountainCertificate of Waiver, Physician office11D2255911
- Certivia Laboratories, LLCCertificate of Accreditation, Independent11D2168354
- Cobblestone Assisted Living at Park SpringsCertificate of Waiver, Assisted living facility11D2134406
- Dedicated Laboratory on the MoveCertificate of Waiver, Independent11D2344585
- Denali Health Atlanta, LLCCertificate of Waiver, Physician office11D2325627
- E Z Transport EMSCertificate of Waiver, Ambulance11D2297691
- Emory at RockbridgeCertificate of Waiver, Physician office11D0255955
Related
Questions
What is the CLIA number for Brookdalestone Mountain in Stone Mountain?
11D1096180, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Brookdalestone Mountain hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1096180 expire?
The CMS file lists February 25, 2027 as the certificate expiration date; the certificate took effect February 26, 2025.