CLIA lab
CLIA 11D2117733: Piedmont Urgent Care By Well Street
Dallas, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2117733 belongs to Piedmont Urgent Care By Well Street in Dallas, GA.
Certificate of Waiver, effective April 21, 2025, expires April 20, 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
- April 21, 2025
- Certificate expiration
- April 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 23, 2016
- Facility type
- Other
- 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
- 11D2117733
- Lab name
- Piedmont Urgent Care By Well Street
- Address
- 500 Nathan Dean Blvd, Dallas, GA 30157
- Phone
- (470) 485-0012
- Fax
- (470) 202-1026
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Amazing Grace Hospice Care, LLCCertificate of Waiver, Hospice11D2286245
- Anna Chos LLC DBA Anna Chos Urgent ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office11D2343709
- Aqua Dermatology of Georgia - HiramCertificate of Compliance, Physician office11D2235821
- Blue Ridge Care Center, LLCCertificate of Waiver, Skilled nursing or nursing facility11D2326792
- C&C Pharmacy, IncCertificate of Waiver, Pharmacy11D2183259
- CPM Sugery Center 2, LLCCertificate of Waiver, Ambulatory surgery center11D1099264
- Carelink of Northwest Georgia, IncCertificate of Waiver, Community clinic11D2155672
Related
Questions
What is the CLIA number for Piedmont Urgent Care By Well Street in Dallas?
11D2117733, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Piedmont Urgent Care By Well Street hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2117733 expire?
The CMS file lists April 20, 2027 as the certificate expiration date; the certificate took effect April 21, 2025.