CLIA lab

CLIA 11D2198800: Wellstar Mountain Lakes Medical Center

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

CLIA number 11D2198800 belongs to Wellstar Mountain Lakes Medical Center in Clayton, GA.

Certificate of Waiver, effective November 4, 2024, expires November 3, 2026.

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
November 4, 2024
Certificate expiration
November 3, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 4, 2020
Facility type
Rural health clinic
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
11D2198800
Lab name
Wellstar Mountain Lakes Medical Center
Additional name
Rural Health Clinic
Address
338 Stagecoach Road, Clayton, GA 30525
Phone
(706) 960-9533
Fax
(706) 782-0465

Annual test volume the lab reported

Waived tests
3,000

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 Wellstar Mountain Lakes Medical Center in Clayton?

11D2198800, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Wellstar Mountain Lakes Medical Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2198800 expire?

The CMS file lists November 3, 2026 as the certificate expiration date; the certificate took effect November 4, 2024.

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