CLIA lab
CLIA 11D0912925: Southwell Medical Ashburn Primary Care
Ashburn, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0912925 belongs to Southwell Medical Ashburn Primary Care in Ashburn, GA.
Certificate of Waiver, effective March 15, 2026, expires March 14, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 15, 2026
- Certificate expiration
- March 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 15, 1996
- Facility type
- Rural health clinic
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D0912925
- Lab name
- Southwell Medical Ashburn Primary Care
- Address
- 611 East Washington Ave, Ashburn, GA 31714
- Phone
- (229) 353-6121
- Fax
- (229) 353-6192
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.
Affiliated CLIA numbers
Other labs in Ashburn, GA
- Careconnect Family Practice and PediatricsCertificate of Waiver, Federally qualified health center11D2126201
- Crisp Family Medicine - AshburnCertificate of Waiver, Physician office11D2227465
- Pruitthealth - Ashburn, LLCCertificate of Waiver, Skilled nursing or nursing facility11D0646151
- Raines Pharmacy, IncCertificate of Waiver, Pharmacy11D2188956
- Southern Correctional Medicine, LLCCertificate of Waiver, Other11D2200482
- Turner County Emergency Medical ServicesCertificate of Waiver, Ambulance11D2199377
Related
Questions
What is the CLIA number for Southwell Medical Ashburn Primary Care in Ashburn?
11D0912925, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southwell Medical Ashburn Primary Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0912925 expire?
The CMS file lists March 14, 2028 as the certificate expiration date; the certificate took effect March 15, 2026.