CLIA lab
CLIA 11D0685804: Eastman Pediatric Clinic
Eastman, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0685804 belongs to Eastman Pediatric Clinic in Eastman, GA.
Certificate of Compliance, effective December 1, 2024, expires November 30, 2026.
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 Compliance
- Certificate effective
- December 1, 2024
- Certificate expiration
- November 30, 2026
- 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
- 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
- 11D0685804
- Lab name
- Eastman Pediatric Clinic
- Address
- 1223 Plaza Ave, Eastman, GA 31023
- Phone
- (478) 374-3814
- Fax
- (478) 374-1478
Annual test volume the lab reported
- Waived tests
- 2,933
- Other nonwaived tests
- 9,316
- Total
- 12,249
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Eastman, GA
- Careconnect Convenient Care and PediatricsCertificate of Waiver, Federally qualified health center11D1103404
- Dixie Medical, LLCCertificate of Waiver, Physician office11D2133712
- Dodge Co Hosp Auth DBA Eastman Family Practice LLCCertificate of Waiver, Rural health clinic11D2030008
- Dodge County EMSCertificate of Waiver, Other11D2199370
- Dodge County Hospital AuthorityCertificate of Waiver, Physician office11D2250831
- Dodge County Hospital LaboratoryCertificate of Compliance, Hospital11D0021848
- Dodge County Hospital Wound and Hyperbaric CenterCertificate of Waiver, Other11D2313636
- Dodge County Law Enforcement CenterCertificate of Waiver, Other11D2342044
- Donald A Selph Junior MD Facp PCCertificate of Waiver, Physician office11D1098863
- Eastman Healthcare & RehabCertificate of Waiver, Skilled nursing or nursing facility11D0671808
Related
Questions
What is the CLIA number for Eastman Pediatric Clinic in Eastman?
11D0685804, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Eastman Pediatric Clinic hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 11D0685804 expire?
The CMS file lists November 30, 2026 as the certificate expiration date; the certificate took effect December 1, 2024.