CLIA lab
CLIA 11D1106707: Wellstar Medical Group Pediatrics West Ga
Lagrange, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1106707 belongs to Wellstar Medical Group Pediatrics West Ga in Lagrange, GA.
Certificate of Waiver, effective April 26, 2026, expires April 25, 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
- April 26, 2026
- Certificate expiration
- April 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 21, 2009
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 11D1106707
- Lab name
- Wellstar Medical Group Pediatrics West Ga
- Address
- 301 Medical Drive Suite 504, Lagrange, GA 30240
- Phone
- (706) 812-2655
- Fax
- (706) 812-2428
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Wellstar Medical Group Pediatrics West Ga in Lagrange?
11D1106707, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wellstar Medical Group Pediatrics West Ga hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1106707 expire?
The CMS file lists April 25, 2028 as the certificate expiration date; the certificate took effect April 26, 2026.