CLIA lab
CLIA 11D2136124: Tri-State Treatment
Wildwood, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2136124 belongs to Tri-State Treatment in Wildwood, GA.
Certificate of Waiver, effective September 5, 2025, expires September 4, 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
- September 5, 2025
- Certificate expiration
- September 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 5, 2017
- 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
- 11D2136124
- Lab name
- Tri-State Treatment
- Address
- 1236 Highway 299, Wildwood, GA 30757
- Phone
- (423) 428-0045
- Fax
- (423) 428-0046
Annual test volume the lab reported
- Waived tests
- 5,000
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 Tri-State Treatment in Wildwood?
11D2136124, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tri-State Treatment hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2136124 expire?
The CMS file lists September 4, 2027 as the certificate expiration date; the certificate took effect September 5, 2025.