CLIA lab
CLIA 11D0672079: Vista Park Health & Rehab
Douglas, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0672079 belongs to Vista Park Health & Rehab in Douglas, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
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
- December 21, 1992
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Other
- 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
- 11D0672079
- Lab name
- Vista Park Health & Rehab
- Address
- 1310 West Gordon St, Douglas, GA 31533
- Phone
- (912) 384-7811
- Fax
- (912) 384-7695
Annual test volume the lab reported
- Waived tests
- 22,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Vista Park Health and RehabilitationCMS Care Compare ratings for the facility at the same street address
Other labs in Douglas, GA
- Air Evac 090Certificate of Waiver, Ambulance11D2003613
- Amin Surgery Center for Women LLCCertificate of Waiver, Ambulatory surgery center11D2189371
- Bariatric and Metabolic CenterCertificate of Waiver, Physician office11D2200382
- CRH Cardiology Group - WaycrossCertificate of Waiver, Physician office11D2229210
- CRH Family Medicine GroupCertificate for Provider-Performed Microscopy Procedures, Physician office11D2108872
- CRH Family Medicine Group - AbrahamCertificate of Waiver, Physician office11D2200138
- CRH Family PracticeCertificate of Waiver, Physician office11D2069114
- CRH Industrial MedicineCertificate of Waiver, Physician office11D2026293
- CRH Internal Medicine Residency ClinicCertificate of Waiver, Physician office11D1098856
- CRH Mobile ClinicCertificate of Waiver, Physician office11D2139253
Related
Questions
What is the CLIA number for Vista Park Health & Rehab in Douglas?
11D0672079, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vista Park Health & Rehab hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0672079 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.