CLIA lab
CLIA 11D2058391: Hthy Life Care Ctr-Green Street
Dalton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2058391 belongs to Hthy Life Care Ctr-Green Street in Dalton, 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
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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
- May 7, 2013
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2058391
- Lab name
- Hthy Life Care Ctr-Green Street
- Additional name
- DBA Evernorth Direct Health
- Address
- 508 East Morris Street, Dalton, GA 30721
- Phone
- (623) 277-1128
- Fax
- (800) 760-6489
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Dalton, GA
- Adventa Hospice LLC DBA Amedisys Hospice of DaltonCertificate of Waiver, Hospice11D1055107
- Adventhealth Medical Group Cardiology at DaltonCertificate of Waiver, Physician office11D2298483
- Afc Urgent Care-DaltonCertificate of Waiver, Other11D2285146
- All Family CareCertificate of Waiver, Physician office11D2271720
- Associates in Obstetrics & GynecologyCertificate for Provider-Performed Microscopy Procedures, Physician office11D0680730
- Associates in Obstetrics & Gynecology, PCCertificate for Provider-Performed Microscopy Procedures, Physician office11D2227958
- Biotech Labs LLCCertificate of Waiver, Physician office11D2272907
- Blood Assurance - Dalton Donor StationCertificate of Waiver, Blood bank11D0954032
- Braun EyecareCertificate of Waiver, Physician office11D2139912
- Bright Pediatrics, LLCCertificate of Compliance, Physician office11D2007437
Related
Questions
What is the CLIA number for Hthy Life Care Ctr-Green Street in Dalton?
11D2058391, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hthy Life Care Ctr-Green Street hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2058391 expire?
The CMS file lists May 6, 2027 as the certificate expiration date; the certificate took effect May 7, 2025.