CLIA lab
CLIA 11D0898234: Pruitthealth - Magnolia Manor, LLC
Moultrie, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0898234 belongs to Pruitthealth - Magnolia Manor, LLC in Moultrie, GA.
Certificate of Waiver, effective February 27, 2025, expires February 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
- February 27, 2025
- Certificate expiration
- February 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 27, 1995
- Facility type
- Skilled nursing or nursing facility
- 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
- 11D0898234
- Lab name
- Pruitthealth - Magnolia Manor, LLC
- Address
- 3003 Veterans Parkway South, Moultrie, GA 31788
- Phone
- (229) 985-3422
- Fax
- (229) 985-0227
Annual test volume the lab reported
- Waived tests
- 20,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- PruittHealth - Magnolia ManorCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Pruitthealth - Magnolia Manor, LLC in Moultrie?
11D0898234, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pruitthealth - Magnolia Manor, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0898234 expire?
The CMS file lists February 26, 2027 as the certificate expiration date; the certificate took effect February 27, 2025.