CLIA lab
CLIA 11D1103686: Healthstat on Site Clinic Milliken Kingsley
Thomson, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1103686 belongs to Healthstat on Site Clinic Milliken Kingsley in Thomson, GA.
Certificate of Waiver, effective August 17, 2025, expires August 16, 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 17, 2025
- Certificate expiration
- August 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 17, 2009
- 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
- 11D1103686
- Lab name
- Healthstat on Site Clinic Milliken Kingsley
- Address
- 2598 Washington Road, Thomson, GA 30824
- 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.
Other labs in Thomson, GA
- Allay Hospice, IncCertificate of Waiver, Hospice11D2236116
- Aucc ThomsonCertificate of Waiver, Physician office11D2284828
- Barneys PharmacyCertificate of Waiver, Pharmacy11D2255809
- Bio Medical Applications of Georiga IncorporateCertificate of Waiver, End stage renal disease dialysis facility11D1078644
- Center for Primary Care- Mcduffie MedicineCertificate of Accreditation, Physician office11D0262594
- Family Care IncCertificate of Waiver, Home health agency11D0898649
- Mcduffie County JailCertificate of Waiver, Other11D2308490
- Mcduffie County SchoolsCertificate of Waiver, School or student health service11D2273098
- Mcduffie DialysisCertificate of Waiver, End stage renal disease dialysis facility11D2042984
- Medical Associates PlusCertificate for Provider-Performed Microscopy Procedures, Physician office11D0999497
Related
Questions
What is the CLIA number for Healthstat on Site Clinic Milliken Kingsley in Thomson?
11D1103686, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Healthstat on Site Clinic Milliken Kingsley hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1103686 expire?
The CMS file lists August 16, 2027 as the certificate expiration date; the certificate took effect August 17, 2025.