CLIA lab
CLIA 11D2202719: Wellstar Urgent Care Paulding
Dallas, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2202719 belongs to Wellstar Urgent Care Paulding in Dallas, GA.
Certificate of Compliance, effective June 18, 2025, expires June 17, 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 Compliance
- Certificate effective
- June 18, 2025
- Certificate expiration
- June 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 1, 2020
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 11D2202719
- Lab name
- Wellstar Urgent Care Paulding
- Address
- 120 Greystone Power Boulevard, Suite 110, Dallas, GA 30157
- Phone
- (470) 267-1540
- Fax
- (770) 999-2792
Annual test volume the lab reported
- Waived tests
- 5,500
- Other nonwaived tests
- 200
- Total
- 5,700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Dallas, GA
- Adma Biocenters Georgia, IncCertificate of Compliance, Other11D2266397
- Advanced Urology Institute of Georgia, PCCertificate of Waiver, Physician office11D2338686
- Allcare DallasCertificate of Waiver, Physician office11D2227370
- Amazing Grace Hospice Care, LLCCertificate of Waiver, Hospice11D2286245
- Anna Chos LLC DBA Anna Chos Urgent ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office11D2343709
- Aqua Dermatology of Georgia - HiramCertificate of Compliance, Physician office11D2235821
- Blue Ridge Care Center, LLCCertificate of Waiver, Skilled nursing or nursing facility11D2326792
- C&C Pharmacy, IncCertificate of Waiver, Pharmacy11D2183259
- CPM Sugery Center 2, LLCCertificate of Waiver, Ambulatory surgery center11D1099264
- Carelink of Northwest Georgia, IncCertificate of Waiver, Community clinic11D2155672
Related
Questions
What is the CLIA number for Wellstar Urgent Care Paulding in Dallas?
11D2202719, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wellstar Urgent Care Paulding hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 11D2202719 expire?
The CMS file lists June 17, 2027 as the certificate expiration date; the certificate took effect June 18, 2025.