CLIA lab

CLIA 11D0021712: East Central Regional Hospital Gracewood Campus

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

CLIA number 11D0021712 belongs to East Central Regional Hospital Gracewood Campus in Gracewood, GA.

Certificate of Waiver, effective December 1, 2025, expires November 30, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
December 1, 2025
Certificate expiration
November 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 29, 1992
Facility type
Hospital
Ownership (control type)
Government, state
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
11D0021712
Lab name
East Central Regional Hospital Gracewood Campus
Address
100 Myrtle Boulevard, Gracewood, GA 30812
Phone
(706) 792-7793
Fax
(706) 434-4300

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.

Related

Questions

What is the CLIA number for East Central Regional Hospital Gracewood Campus in Gracewood?

11D0021712, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does East Central Regional Hospital Gracewood Campus hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D0021712 expire?

The CMS file lists November 30, 2027 as the certificate expiration date; the certificate took effect December 1, 2025.

Try it on your own data today.

Free to start. Most teams are using it the same day.