CLIA lab
CLIA 11D0909917: Camilla Pediatric Center, the
Camilla, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0909917 belongs to Camilla Pediatric Center, the in Camilla, GA.
Certificate of Waiver, effective December 21, 2025, expires December 20, 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
- December 21, 2025
- Certificate expiration
- December 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 21, 1995
- 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
- 11D0909917
- Lab name
- Camilla Pediatric Center, the
- Address
- 25 Perry Street, Camilla, GA 31730
- Phone
- (912) 336-7472
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Camilla DialysisCertificate of Waiver, End stage renal disease dialysis facility11D0646167
- Camilla Medical ClinicCertificate of Waiver, Physician office11D2188302
- Keystone Foods LLCCertificate of Waiver, Other11D2178576
- Medical Group of Mitchell CountyCertificate for Provider-Performed Microscopy Procedures, Physician office11D1056726
- Mitchell Convalescent CenterCertificate of Waiver, Skilled nursing or nursing facility11D2191979
- Mitchell County Hospital LaboratoryCertificate of Accreditation, Hospital11D0266044
- Mitchell County Pediatrics & Health CenterCertificate of Waiver, Physician office11D2259361
- Mitchell County School Based Health CenterCertificate of Waiver, Federally qualified health center11D2231772
- Phoebe Primary Care of CarmillaCertificate of Waiver, Physician office11D0266040
Related
Questions
What is the CLIA number for Camilla Pediatric Center, the in Camilla?
11D0909917, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Camilla Pediatric Center, the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0909917 expire?
The CMS file lists December 20, 2027 as the certificate expiration date; the certificate took effect December 21, 2025.