CLIA lab
CLIA 11D0712928: Kentwood Extended Care Facility
Augusta, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0712928 belongs to Kentwood Extended Care Facility in Augusta, GA.
Certificate of Waiver, effective September 1, 2024, expiration date August 31, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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, 2024
- Certificate expiration
- August 31, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 15, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D0712928
- Lab name
- Kentwood Extended Care Facility
- Address
- 1227 West Wheeler Pkwy, Augusta, GA 30909
- Phone
- (706) 863-1188
Annual test volume the lab reported
- Waived tests
- 3,600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Pruitthealth - Richmond, LLCCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Augusta, GA
- A Preferred Women's Health CenterCertificate of Waiver, Physician office11D2063655
- Academy of Womens and Childrens Health LLCCertificate for Provider-Performed Microscopy Procedures, Physician office11D0895296
- Addus Healthcare IncCertificate of Waiver, Home health agency11D1006516
- Adp Health & Wellness Center in AugustaCertificate of Waiver, Physician office11D2102700
- Affinis Hospice, LLCCertificate of Waiver, Hospice11D2080980
- Allergy & Asthma CenterCertificate of Waiver, Physician office11D0263111
- Alliance Surgery Center of Augusta, LLCCertificate of Waiver, Ambulatory surgery center11D2103321
- Amedisys Georgia LLC, DBA Amedisys Home Hlth CareCertificate of Waiver, Home health agency11D0664728
- American Health Imaging of AugustaCertificate of Waiver, Independent11D2076556
- Analyze America Labs IncorporatedCertificate of Waiver, Independent11D1022208
Related
Questions
What is the CLIA number for Kentwood Extended Care Facility in Augusta?
11D0712928, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kentwood Extended Care Facility hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0712928 expire?
The CMS file lists August 31, 2026 as the certificate expiration date; the certificate took effect September 1, 2024.