CLIA lab

CLIA 11D2324638: Kaiser Permanente - Mobile Health Van

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

CLIA number 11D2324638 belongs to Kaiser Permanente - Mobile Health Van in Jonesboro, GA.

Certificate of Waiver, effective May 29, 2025, expires May 28, 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
May 29, 2025
Certificate expiration
May 28, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 29, 2025
Facility type
Mobile lab
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
11D2324638
Lab name
Kaiser Permanente - Mobile Health Van
Address
2400 Mt Zion Pkwy, Jonesboro, GA 30236
Phone
(770) 603-3534
Fax
(770) 603-3773

Annual test volume the lab reported

Waived tests
100

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

Affiliated CLIA numbers

Other labs in Jonesboro, GA

Related

Questions

What is the CLIA number for Kaiser Permanente - Mobile Health Van in Jonesboro?

11D2324638, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kaiser Permanente - Mobile Health Van hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2324638 expire?

The CMS file lists May 28, 2027 as the certificate expiration date; the certificate took effect May 29, 2025.

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