CLIA lab
CLIA 11D2310102: Wellstar Mountain Lakes Medical Center
Tiger, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2310102 belongs to Wellstar Mountain Lakes Medical Center in Tiger, GA.
Certificate of Waiver, effective August 27, 2026, expires August 26, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 27, 2026
- Certificate expiration
- August 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 27, 2024
- Facility type
- Community clinic
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2310102
- Lab name
- Wellstar Mountain Lakes Medical Center
- Additional name
- Wildcat Clinic
- Address
- 901 Tiger Connector Road, Tiger, GA 30576
- Phone
- (706) 782-0459
- Fax
- (866) 580-8245
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Tiger, GA
Related
Questions
What is the CLIA number for Wellstar Mountain Lakes Medical Center in Tiger?
11D2310102, 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 11D2310102 expire?
The CMS file lists August 26, 2028 as the certificate expiration date; the certificate took effect August 27, 2026.