CLIA lab
CLIA 11D0266165: Moultrie Internal Medical Associates
Moultrie, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0266165 belongs to Moultrie Internal Medical Associates in Moultrie, GA.
Certificate of Waiver, effective September 1, 2026, expires August 31, 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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 7, 1995
- 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
- 11D0266165
- Lab name
- Moultrie Internal Medical Associates
- Address
- 320 Sunset Circle, Moultrie, GA 31768
- Phone
- (912) 985-5200
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.
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Related
Questions
What is the CLIA number for Moultrie Internal Medical Associates in Moultrie?
11D0266165, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Moultrie Internal Medical Associates hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0266165 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.