CLIA lab
CLIA 11D2244352: Paulding Residential Substance
Dallas, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2244352 belongs to Paulding Residential Substance in Dallas, GA.
Certificate of Waiver, effective December 1, 2025, expires November 30, 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
- December 1, 2025
- Certificate expiration
- November 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 1, 2021
- Facility type
- Prison
- Ownership (control type)
- Government, state
- 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
- 11D2244352
- Lab name
- Paulding Residential Substance
- Additional name
- Abuse Treatment
- Address
- 1295 Industrial Blvd, N, Dallas, GA 30132
- Phone
- (678) 470-3977
- Fax
- (800) 858-6305
Annual test volume the lab reported
- Waived tests
- 50,000
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 Paulding Residential Substance in Dallas?
11D2244352, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Paulding Residential Substance hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2244352 expire?
The CMS file lists November 30, 2027 as the certificate expiration date; the certificate took effect December 1, 2025.