CLIA lab
CLIA 11D2188461: Mountainside Dialysis
Jasper, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2188461 belongs to Mountainside Dialysis in Jasper, GA.
Certificate of Waiver, effective July 17, 2026, expires July 16, 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
- July 17, 2026
- Certificate expiration
- July 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 17, 2020
- Facility type
- End stage renal disease dialysis facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2188461
- Lab name
- Mountainside Dialysis
- Address
- 700 N Main Street, Jasper, GA 30143
- Phone
- (678) 387-1274
- Fax
- (678) 387-1292
Annual test volume the lab reported
- Waived tests
- 623
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Mountainside DialysisCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Jasper, GA
- Advanced Urology Institute of Georgia, LLCCertificate of Waiver, Physician office11D2318645
- Airlife ThreeCertificate of Waiver, Ambulance11D2020272
- Amedisys Northwest, LLCCertificate of Waiver, Home health agency11D0695853
- Appalachian Hospice South, LLCCertificate of Waiver, Hospice11D2288607
- Aqua Dermatology of Georgia, PCCertificate of Waiver, Physician office11D2348693
- Big Canoe Public SafetyCertificate of Waiver, Other11D2198893
- City of Jasper Fire DepartmentCertificate of Waiver, Other11D2288324
- Digestive Healthcare of GeorgiaCertificate of Waiver, Physician office11D2120245
- Digestive Healthcare of Georgia Endoscopy CenterCertificate of Waiver, Ambulatory surgery center11D1091226
- Dragon Care/ Good Samaritan HealthCertificate of Waiver, Federally qualified health center11D2328077
Related
Questions
What is the CLIA number for Mountainside Dialysis in Jasper?
11D2188461, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mountainside Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2188461 expire?
The CMS file lists July 16, 2028 as the certificate expiration date; the certificate took effect July 17, 2026.