CLIA lab

CLIA 11D2346828: Wellstar Primary Care Jackson

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

CLIA number 11D2346828 belongs to Wellstar Primary Care Jackson in Jackson, GA.

Certificate of Waiver, effective July 8, 2026, expires July 7, 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 8, 2026
Certificate expiration
July 7, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 8, 2026
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
11D2346828
Lab name
Wellstar Primary Care Jackson
Address
215 S Mulberry Street, Jackson, GA 30233
Phone
(943) 202-9110
Fax
(470) 986-7383

Annual test volume the lab reported

Waived tests
1,000

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

Other labs in Jackson, GA

Related

Questions

What is the CLIA number for Wellstar Primary Care Jackson in Jackson?

11D2346828, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Wellstar Primary Care Jackson hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2346828 expire?

The CMS file lists July 7, 2028 as the certificate expiration date; the certificate took effect July 8, 2026.

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