CLIA lab
CLIA 11D0264453: ST Joseph's/Candler Medical Group - Pembroke
Pembroke, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0264453 belongs to ST Joseph's/Candler Medical Group - Pembroke in Pembroke, GA.
Certificate of Waiver, effective April 10, 2025, expires April 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
- April 10, 2025
- Certificate expiration
- April 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 31, 1995
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D0264453
- Lab name
- ST Joseph's/Candler Medical Group - Pembroke
- Address
- 159 West Railroad Street, Ste A, Attn Bonnie Allen, Pembroke, GA 31321
- Phone
- (912) 653-2897
- Fax
- (912) 653-4299
Annual test volume the lab reported
- Waived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Pembroke, GA
Related
Questions
What is the CLIA number for ST Joseph's/Candler Medical Group - Pembroke in Pembroke?
11D0264453, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Joseph's/Candler Medical Group - Pembroke hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0264453 expire?
The CMS file lists April 9, 2027 as the certificate expiration date; the certificate took effect April 10, 2025.