CLIA lab

CLIA 11D2165933: Wellstar Acworth Hlth Ambulatory Surg CTR

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

CLIA number 11D2165933 belongs to Wellstar Acworth Hlth Ambulatory Surg CTR in Acworth, GA.

Certificate of Accreditation, effective January 21, 2026, expires January 20, 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 Accreditation
Certificate effective
January 21, 2026
Certificate expiration
January 20, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 8, 2019
Facility type
Ambulatory surgery center
Ownership (control type)
Private
Lab classification
CLIA laboratory
Accrediting organizations
The Joint Commission
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D2165933
Lab name
Wellstar Acworth Hlth Ambulatory Surg CTR
Address
4550 Cobb Parkway, NW, Attn Lab, Acworth, GA 30101
Phone
(770) 937-7968

Annual test volume the lab reported

Waived tests
1,500
Tests under accreditation
40
Total
1,540

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Acworth, GA

Related

Questions

What is the CLIA number for Wellstar Acworth Hlth Ambulatory Surg CTR in Acworth?

11D2165933, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Wellstar Acworth Hlth Ambulatory Surg CTR hold?

A Certificate of Accreditation, according to the CMS file.

When does CLIA 11D2165933 expire?

The CMS file lists January 20, 2028 as the certificate expiration date; the certificate took effect January 21, 2026.

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