CLIA lab

CLIA 11D2082512: Benton House of Woodstock

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

CLIA number 11D2082512 belongs to Benton House of Woodstock in Woodstock, GA.

Certificate of Waiver, effective August 15, 2026, expires August 14, 2028.

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
August 15, 2026
Certificate expiration
August 14, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 15, 2014
Facility type
Assisted living facility
Ownership (control type)
Proprietary
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
11D2082512
Lab name
Benton House of Woodstock
Address
3385 Trickum Road, Woodstock, GA 30188
Phone
(678) 494-4500
Fax
(678) 297-0384

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.

Other labs in Woodstock, GA

Related

Questions

What is the CLIA number for Benton House of Woodstock in Woodstock?

11D2082512, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Benton House of Woodstock hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2082512 expire?

The CMS file lists August 14, 2028 as the certificate expiration date; the certificate took effect August 15, 2026.

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