CLIA lab
CLIA 11D2012249: Wellstar Medical Group Family Medicine
Hogansville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2012249 belongs to Wellstar Medical Group Family Medicine in Hogansville, GA.
Certificate of Waiver, effective May 7, 2025, expires May 6, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- May 7, 2025
- Certificate expiration
- May 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 31, 2010
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2012249
- Lab name
- Wellstar Medical Group Family Medicine
- Additional name
- Hogansville
- Address
- 2000 Billy Tucker Circle, Hogansville, GA 30230
- Phone
- (706) 803-8040
- Fax
- (470) 986-7115
Annual test volume the lab reported
- Waived tests
- 750
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Hogansville, GA
Related
Questions
What is the CLIA number for Wellstar Medical Group Family Medicine in Hogansville?
11D2012249, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wellstar Medical Group Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2012249 expire?
The CMS file lists May 6, 2027 as the certificate expiration date; the certificate took effect May 7, 2025.