CLIA lab
CLIA 11D0680340: Chi Memorial Family Practice Associates Lafayette
Lafayette, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0680340 belongs to Chi Memorial Family Practice Associates Lafayette in Lafayette, GA.
Certificate of Waiver, effective September 25, 2026, expires September 24, 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 25, 2026
- Certificate expiration
- September 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 29, 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
- 11D0680340
- Lab name
- Chi Memorial Family Practice Associates Lafayette
- Address
- 615 East Villanow Street, Lafayette, GA 30728
- Phone
- (706) 638-1606
- Fax
- (706) 638-9987
Annual test volume the lab reported
- Waived tests
- 1,500
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 Chi Memorial Family Practice Associates Lafayette in Lafayette?
11D0680340, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Chi Memorial Family Practice Associates Lafayette hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0680340 expire?
The CMS file lists September 24, 2028 as the certificate expiration date; the certificate took effect September 25, 2026.