CLIA lab
CLIA 11D0720419: Jeffrey N Holley MD PC
Donalsonville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0720419 belongs to Jeffrey N Holley MD PC in Donalsonville, GA.
Certificate of Waiver, effective April 27, 2025, expires April 26, 2027.
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
- April 27, 2025
- Certificate expiration
- April 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 30, 1992
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 11D0720419
- Lab name
- Jeffrey N Holley MD PC
- Address
- 214 Cherry Street, Donalsonville, GA 39845
- Phone
- (912) 524-2232
- Fax
- (229) 524-8766
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Donalsonville, GA
- Donalsonville Hospital Inc LaboratoryCertificate of Accreditation, Hospital11D0266092
- Elect Me Healthcare LLCCertificate of Waiver, Other11D2326334
- Magnolia Womens CenterCertificate for Provider-Performed Microscopy Procedures, Physician office11D2290313
- Seminole County Board of EducationCertificate of Waiver, School or student health service11D2267750
- Seminole Manor Nursing HomeCertificate of Waiver, Skilled nursing or nursing facility11D2195797
- Southeast Cardiology ClinicCertificate of Waiver, Physician office11D2090443
- Southwest Ga Healthcare Clinics, IncCertificate of Waiver, Other11D2347440
- Southwest Georgia Healthcare Clinics IncCertificate of Waiver, Physician office11D0266091
- Southwest Georgia Healthcare Clinics, IncCertificate of Waiver, Federally qualified health center11D2350557
- Southwest Gerogia Healthcare Clinics Pediatric CTRCertificate of Waiver, Physician office11D2030132
Related
Questions
What is the CLIA number for Jeffrey N Holley MD PC in Donalsonville?
11D0720419, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jeffrey N Holley MD PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0720419 expire?
The CMS file lists April 26, 2027 as the certificate expiration date; the certificate took effect April 27, 2025.