CLIA lab
CLIA 01D2276549: Southeast Medical Group
Jacksonville, AL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 01D2276549 belongs to Southeast Medical Group in Jacksonville, AL.
Certificate of Waiver, effective February 10, 2025, expires February 9, 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
- February 10, 2025
- Certificate expiration
- February 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 10, 2023
- Facility type
- Physician office
- 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
- 01D2276549
- Lab name
- Southeast Medical Group
- Additional name
- DBA Ladiga Family Medicine
- Address
- 1460 2nd Avenue SW, Suite A, Jacksonville, AL 36265
- Phone
- (770) 442-1911
- Fax
- (770) 663-8905
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.
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- Crow Drug, IncCertificate of Waiver, Pharmacy01D2180349
- DR David Chandler OD PCCertificate of Waiver, Physician office01D2042543
- Doctors Med Care of Jacksonville PCCertificate of Compliance, Physician office01D1045512
- Fast Pace Medical Clinic, PLLCCertificate of Waiver, Other practitioner01D2284486
- Festok Pediatric CorpCertificate of Waiver, Physician office01D0887119
- Harbor at Legacy Village of Jacksonville, theCertificate of Waiver, Assisted living facility01D2061498
- Jacksonville Family MedicineCertificate of Waiver, Physician office01D2074962
- Legacy Village of JacksonvilleCertificate of Waiver, Assisted living facility01D2047802
- Rai-Henry RD JacksonvilleCertificate of Waiver, End stage renal disease dialysis facility01D1084100
Related
Questions
What is the CLIA number for Southeast Medical Group in Jacksonville?
01D2276549, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southeast Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 01D2276549 expire?
The CMS file lists February 9, 2027 as the certificate expiration date; the certificate took effect February 10, 2025.