CLIA lab
CLIA 11D2019890: Wellstar Kennestone Imaging CTR at Town Lake
Woodstock, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2019890 belongs to Wellstar Kennestone Imaging CTR at Town Lake in Woodstock, GA.
Certificate of Waiver, effective February 9, 2025, expires February 8, 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
- February 9, 2025
- Certificate expiration
- February 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 9, 2011
- Facility type
- Other
- Ownership (control type)
- Government, county
- 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
- 11D2019890
- Lab name
- Wellstar Kennestone Imaging CTR at Town Lake
- Address
- 120 Stonebrdige Pkwy, Ste 300, Attn Karen Stoor, Woodstock, GA 30189
- Phone
- (470) 956-0879
- Fax
- (470) 956-0929
Annual test volume the lab reported
- Waived tests
- 240
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Woodstock, GA
- Accumed Home Health of Georgia, LLCCertificate of Waiver, Home health agency11D1000475
- Aga LLCCertificate of Waiver, Physician office11D1079877
- Agape Hospice Care of Cherokee County, LLCCertificate of Waiver, Hospice11D2164228
- Agape Recovery House DBA Inner Voyage Recovery CTRCertificate of Waiver, Independent11D2228729
- Ajmeri Wellness PCCertificate of Accreditation, Physician office11D2316019
- Alliance Surgery Center at Woodstock, LLCCertificate of Waiver, Ambulatory surgery center11D2160013
- American Family Care - WoodstockCertificate of Waiver, Physician office11D2069252
- Aqua Dermatology of Georgia, PCCertificate of Waiver, Physician office11D2312059
- Athens Family Medicine, LLCCertificate of Waiver, Physician office11D1019624
- Atlanta North Dermatology & Skin Care, IncCertificate of Compliance, Physician office11D1092445
Related
Questions
What is the CLIA number for Wellstar Kennestone Imaging CTR at Town Lake in Woodstock?
11D2019890, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wellstar Kennestone Imaging CTR at Town Lake hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2019890 expire?
The CMS file lists February 8, 2027 as the certificate expiration date; the certificate took effect February 9, 2025.