CLIA lab
CLIA 11D0922663: Raymond J Otis Senior PC
Camilla, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0922663 belongs to Raymond J Otis Senior PC in Camilla, GA.
Certificate of Waiver, effective March 25, 2026, expires March 24, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 25, 2026
- Certificate expiration
- March 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 4, 1996
- 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
- 11D0922663
- Lab name
- Raymond J Otis Senior PC
- Address
- 24 North Ellis Street, Camilla, GA 31730
- Phone
- (229) 336-7343
- Fax
- (229) 336-7400
Annual test volume the lab reported
- Waived tests
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Camilla Pediatric Center, theCertificate of Waiver, Physician office11D0909917
- 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
Related
Questions
What is the CLIA number for Raymond J Otis Senior PC in Camilla?
11D0922663, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Raymond J Otis Senior PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0922663 expire?
The CMS file lists March 24, 2028 as the certificate expiration date; the certificate took effect March 25, 2026.