CLIA lab
CLIA 11D2168145: PPG at Jackson
Jackson, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2168145 belongs to PPG at Jackson in Jackson, GA.
Certificate of Waiver, effective June 24, 2025, expires June 23, 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
- June 24, 2025
- Certificate expiration
- June 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 24, 2019
- Facility type
- Physician office
- 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
- 11D2168145
- Lab name
- PPG at Jackson
- Address
- 261 Brookwood Avenue, Jackson, GA 30233
- Phone
- (678) 752-0555
- Fax
- (678) 752-0556
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jackson, GA
- Atlanta Heart AssociatesCertificate of Waiver, Physician office11D2003503
- Aylo Health - JacksonCertificate of Accreditation, Physician office11D1058715
- BHG Lii, LLC, DBA BHG Jackson Treatment CenterCertificate of Waiver, Other11D1036497
- BHG Lxvi, LLC DBA BHG Medical Services - GeorgiaCertificate of Waiver, Other11D2300571
- Bennie R White Junior MD IncorporatedCertificate of Waiver, Physician office11D1058495
- Butts County Fire DepartmentCertificate of Waiver, Ambulance11D2245568
- Butts County JailCertificate of Waiver, Other11D2284808
- Butts County Pregnancy CenterCertificate of Waiver, Other11D2102551
- Central Hospice, LLCCertificate of Waiver, Hospice11D2302750
- Dream Cantcher Farm PCHCertificate of Waiver, Other11D0984619
Related
Questions
What is the CLIA number for PPG at Jackson in Jackson?
11D2168145, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does PPG at Jackson hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2168145 expire?
The CMS file lists June 23, 2027 as the certificate expiration date; the certificate took effect June 24, 2025.