CLIA lab
CLIA 11D2307604: Wellstar Primary Care Dallas
Dallas, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2307604 belongs to Wellstar Primary Care Dallas in Dallas, GA.
Certificate of Waiver, effective July 11, 2026, expires July 10, 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 11, 2026
- Certificate expiration
- July 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 11, 2024
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 11D2307604
- Lab name
- Wellstar Primary Care Dallas
- Address
- 602 W Memorial Drive, Suite 101, Dallas, GA 30132
- Phone
- (943) 202-7870
- Fax
- (470) 986-7205
Annual test volume the lab reported
- Waived tests
- 8,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Dallas, GA
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- 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 Primary Care Dallas in Dallas?
11D2307604, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wellstar Primary Care Dallas hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2307604 expire?
The CMS file lists July 10, 2028 as the certificate expiration date; the certificate took effect July 11, 2026.