CLIA lab

CLIA 11D2275784: Skyline EMS

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

CLIA number 11D2275784 belongs to Skyline EMS in Jasper, GA.

Certificate of Waiver, effective January 27, 2025, expires January 26, 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
January 27, 2025
Certificate expiration
January 26, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 27, 2023
Facility type
Ambulance
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
11D2275784
Lab name
Skyline EMS
Address
1549 East Church Street, Jasper, GA 30143
Phone
(770) 880-0161

Annual test volume the lab reported

Waived tests
5

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Jasper, GA

Related

Questions

What is the CLIA number for Skyline EMS in Jasper?

11D2275784, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Skyline EMS hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2275784 expire?

The CMS file lists January 26, 2027 as the certificate expiration date; the certificate took effect January 27, 2025.

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