CLIA lab
CLIA 11D0715433: Capstone Medical Clinic
Perry, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0715433 belongs to Capstone Medical Clinic in Perry, GA.
Certificate for Provider-Performed Microscopy Procedures, 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
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 6, 1993
- 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
- 11D0715433
- Lab name
- Capstone Medical Clinic
- Address
- 1019 Keith Drive, Perry, GA 31069
- Phone
- (912) 988-1100
- Fax
- (478) 988-8211
Annual test volume the lab reported
- Provider-performed microscopy tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Careconnect Convenient CareCertificate of Waiver, Federally qualified health center11D2125723
- Coast To Coast Medical Transportation IncCertificate of Waiver, Ambulance11D2263667
- Dalton Family EyecareCertificate of Waiver, Physician office11D2030002
- Emory Hospital PerryCertificate of Accreditation, Hospital11D0263767
- FP- Peachtree Immediate Care PryCertificate of Waiver, Physician office11D2247464
- Hometown PediatricsCertificate of Waiver, Physician office11D2336498
- Houston County Detention CenterCertificate of Waiver, Other11D2277189
Related
Questions
What is the CLIA number for Capstone Medical Clinic in Perry?
11D0715433, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Capstone Medical Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D0715433 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.