CLIA lab
CLIA 11D0918667: Memorial Health-Provident Womens Specialists
Rincon, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0918667 belongs to Memorial Health-Provident Womens Specialists in Rincon, GA.
Certificate of Waiver, effective October 10, 2025, expires October 9, 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
- October 10, 2025
- Certificate expiration
- October 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 16, 1996
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D0918667
- Lab name
- Memorial Health-Provident Womens Specialists
- Additional name
- Rincon
- Address
- 241 Silverwood Commercial Drive, Rincon, GA 31326
- Phone
- (912) 350-5937
- Fax
- (912) 350-3483
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Rincon, GA
- Bio-Medical Applications of GaCertificate of Waiver, Blood bank11D1084249
- Centricity Research Rincon PulmonologyCertificate of Waiver, Other11D2033912
- Chatham Orthopaedic AssociatesCertificate of Waiver, Physician office11D2009527
- DR Lynn's Family Practice PCCertificate of Waiver, Physician office11D1056459
- Effingham Hospital IncCertificate for Provider-Performed Microscopy Procedures, Rural health clinic11D0899919
- Effingham Hospital IncCertificate for Provider-Performed Microscopy Procedures, Physician office11D2071253
- Expercare - Rincon, GaCertificate of Waiver, Physician office11D2312386
- Gateway Community Service BoardCertificate of Waiver, Other11D2279236
- Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #07758Certificate of Waiver, Pharmacy11D2255780
- Horizon Behavioral Health, PCCertificate of Waiver, Physician office11D2125111
Related
Questions
What is the CLIA number for Memorial Health-Provident Womens Specialists in Rincon?
11D0918667, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Memorial Health-Provident Womens Specialists hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0918667 expire?
The CMS file lists October 9, 2027 as the certificate expiration date; the certificate took effect October 10, 2025.