CLIA lab

CLIA 11D1105886: Internal Medicine Associates of Jasper Janetcprest

Canton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D1105886 belongs to Internal Medicine Associates of Jasper Janetcprest in Canton, GA.

Certificate of Waiver, effective September 30, 2025, expires September 29, 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
September 30, 2025
Certificate expiration
September 29, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 30, 2009
Facility type
Physician office
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
11D1105886
Lab name
Internal Medicine Associates of Jasper Janetcprest
Address
3755 Sixes Road, Suite 300, Canton, GA 30114
Phone
(706) 962-9768
Fax
(706) 692-4040

Annual test volume the lab reported

Waived tests
600

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Canton, GA

Related

Questions

What is the CLIA number for Internal Medicine Associates of Jasper Janetcprest in Canton?

11D1105886, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Internal Medicine Associates of Jasper Janetcprest hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D1105886 expire?

The CMS file lists September 29, 2027 as the certificate expiration date; the certificate took effect September 30, 2025.

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