CLIA lab
CLIA 11D0696478: Crmc Primary Care Clinic
Moultrie, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0696478 belongs to Crmc Primary Care Clinic in Moultrie, GA.
Certificate for Provider-Performed Microscopy Procedures, effective March 8, 2026, expires March 7, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- March 8, 2026
- Certificate expiration
- March 7, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 21, 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
- 11D0696478
- Lab name
- Crmc Primary Care Clinic
- Address
- 6 Hospital Park, Moultrie, GA 31768
- Phone
- (912) 985-3320
Annual test volume the lab reported
- Waived tests
- 12,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Ccsg IncCertificate of Waiver, Physician office11D2224496
- Chancy Drugs MoultireCertificate of Waiver, Pharmacy11D2184893
- Colquit Regional Diaylsis HomeCertificate of Waiver, End stage renal disease dialysis facility11D2329957
- Colquitt Co Board of EducationCertificate of Waiver, School or student health service11D2135673
- Colquitt County EMSCertificate of Waiver, Ambulance11D2199858
- Colquitt County JailCertificate of Waiver, Prison11D2292378
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Related
Questions
What is the CLIA number for Crmc Primary Care Clinic in Moultrie?
11D0696478, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Crmc Primary Care Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D0696478 expire?
The CMS file lists March 7, 2028 as the certificate expiration date; the certificate took effect March 8, 2026.