CLIA lab

CLIA 11D0879299: Memorial Health - Provident Women's Specialist

Savannah, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D0879299 belongs to Memorial Health - Provident Women's Specialist in Savannah, GA.

Certificate of Waiver, effective April 1, 2026, expires March 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 of Waiver
Certificate effective
April 1, 2026
Certificate expiration
March 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
November 18, 1993
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
6

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D0879299
Lab name
Memorial Health - Provident Women's Specialist
Address
4750 Waters Avenue, Suite 400, Savannah, GA 31404
Phone
(912) 350-5937
Fax
(912) 350-3483

Annual test volume the lab reported

Waived tests
1,200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Savannah, GA

Related

Questions

What is the CLIA number for Memorial Health - Provident Women's Specialist in Savannah?

11D0879299, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Memorial Health - Provident Women's Specialist hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D0879299 expire?

The CMS file lists March 31, 2028 as the certificate expiration date; the certificate took effect April 1, 2026.

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