CLIA lab
CLIA 11D2177441: Wellstar Pediatric Cardiology-Douglasville
Douglasville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2177441 belongs to Wellstar Pediatric Cardiology-Douglasville in Douglasville, GA.
Certificate of Waiver, effective January 10, 2026, expires January 9, 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
- January 10, 2026
- Certificate expiration
- January 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 10, 2020
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- 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
- 11D2177441
- Lab name
- Wellstar Pediatric Cardiology-Douglasville
- Address
- 6001 Professional Parkway, Suite 2080-C, Douglasville, GA 30134
- Phone
- (770) 424-6893
- Fax
- (770) 424-2024
Annual test volume the lab reported
- Waived tests
- 120
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Douglasville, GA
- Advanced DermatologyCertificate of Compliance, Physician office11D0950417
- Aga, LLCCertificate of Waiver, Physician office11D1043408
- Amedisys Georgia LLCCertificate of Waiver, Home health agency11D0672010
- American Clinical Trials, LLCCertificate of Waiver, Physician office11D2281517
- American Health Imaging DouglasvilleCertificate of Waiver, Other11D2167098
- American National Red Cross, theCertificate of Accreditation, Blood bank11D0699333
- American National Red Cross, theCertificate of Waiver, Blood bank11D0883367
- Arbor Place DialysisCertificate of Waiver, End stage renal disease dialysis facility11D1091874
- Arbor Place Family Medicine PCCertificate of Waiver, Physician office11D1036452
- Ariel Community Care, LLCCertificate of Waiver, Other practitioner11D2169939
Related
Questions
What is the CLIA number for Wellstar Pediatric Cardiology-Douglasville in Douglasville?
11D2177441, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wellstar Pediatric Cardiology-Douglasville hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2177441 expire?
The CMS file lists January 9, 2028 as the certificate expiration date; the certificate took effect January 10, 2026.