CLIA lab
CLIA 11D0262105: Miguel E Cossio MD
Madison, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0262105 belongs to Miguel E Cossio MD in Madison, GA.
Certificate of Waiver, effective May 3, 2026, expires May 2, 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
- May 3, 2026
- Certificate expiration
- May 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- 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
- 11D0262105
- Lab name
- Miguel E Cossio MD
- Address
- 1075 South Main St Suite 400, Madison, GA 30650
- Phone
- (706) 342-9664
- Fax
- (706) 342-3731
Annual test volume the lab reported
- Waived tests
- 516
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Miguel E Cossio MD in Madison?
11D0262105, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Miguel E Cossio MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0262105 expire?
The CMS file lists May 2, 2028 as the certificate expiration date; the certificate took effect May 3, 2026.