CLIA lab
CLIA 11D2033820: Wellstar Medical Group Internal Medicine West Ga
Lagrange, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2033820 belongs to Wellstar Medical Group Internal Medicine West Ga in Lagrange, GA.
Certificate of Waiver, effective December 12, 2025, expires December 11, 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
- December 12, 2025
- Certificate expiration
- December 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 12, 2011
- 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
- 11D2033820
- Lab name
- Wellstar Medical Group Internal Medicine West Ga
- Address
- 300 Medical Drive, Suite 704, Lagrange, GA 30240
- Phone
- (706) 880-7361
- Fax
- (706) 812-2679
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 Internal Medicine West Ga in Lagrange?
11D2033820, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wellstar Medical Group Internal Medicine West Ga hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2033820 expire?
The CMS file lists December 11, 2027 as the certificate expiration date; the certificate took effect December 12, 2025.