CLIA lab

CLIA 11D0891656: Douglas Internal Medicine PC

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

CLIA number 11D0891656 belongs to Douglas Internal Medicine PC in Douglas, GA.

Certificate of Waiver, effective April 12, 2025, expires April 11, 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 12, 2025
Certificate expiration
April 11, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 13, 1994
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
11D0891656
Lab name
Douglas Internal Medicine PC
Address
306 Westside Drive, Douglas, GA 31533
Phone
(912) 384-7826
Fax
(912) 383-1899

Annual test volume the lab reported

Waived tests
900

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

Other labs in Douglas, GA

Related

Questions

What is the CLIA number for Douglas Internal Medicine PC in Douglas?

11D0891656, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Douglas Internal Medicine PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D0891656 expire?

The CMS file lists April 11, 2027 as the certificate expiration date; the certificate took effect April 12, 2025.

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