CLIA lab

CLIA 11D2019892: Wellstar Imaging Center in East Cobb

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

CLIA number 11D2019892 belongs to Wellstar Imaging Center in East Cobb in Marietta, 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

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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
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
11D2019892
Lab name
Wellstar Imaging Center in East Cobb
Address
3747 Roswell Rd, NE, Ste 102, Attn Lisa Dahlquist, Marietta, GA 30062
Phone
(470) 956-8770
Fax
(678) 560-5936

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.

Affiliated CLIA numbers

Other labs in Marietta, GA

Related

Questions

What is the CLIA number for Wellstar Imaging Center in East Cobb in Marietta?

11D2019892, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Wellstar Imaging Center in East Cobb hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2019892 expire?

The CMS file lists February 8, 2027 as the certificate expiration date; the certificate took effect February 9, 2025.

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