CLIA lab
CLIA 11D0929763: Grace V Davis MD PC
Sylvester, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0929763 belongs to Grace V Davis MD PC in Sylvester, GA.
Certificate of Waiver, effective June 24, 2025, expires June 23, 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
- June 24, 2025
- Certificate expiration
- June 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 24, 1997
- Facility type
- Rural health clinic
- Ownership (control type)
- Religious affiliation
- 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
- 11D0929763
- Lab name
- Grace V Davis MD PC
- Address
- 203 West Kelly Street, Sylvester, GA 31791
- Phone
- (912) 777-0488
- Fax
- (912) 777-0476
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Sylvester, GA
- Access Medical Clinic Georgia LLCCertificate of Waiver, Physician office11D2204861
- Careconnect Convenient CareCertificate of Waiver, Federally qualified health center11D2329124
- Dialysis Clinic IncCertificate of Waiver, End stage renal disease dialysis facility11D0921923
- Phoebe Urgent Care of SylvesterCertificate of Waiver, Other11D2325421
- Phoebe Worth Family MedicineCertificate of Waiver, Physician office11D0919399
- Phoebe Worth Medical CenterCertificate of Accreditation, Hospital11D0266246
- Pruitthealth - Sylvester, LLCCertificate of Waiver, Skilled nursing or nursing facility11D0676337
- Tift Regional Health System, IncCertificate for Provider-Performed Microscopy Procedures, Rural health clinic11D0930682
- Walmart Pharmacy 10-7245Certificate of Waiver, Pharmacy11D2176226
- Worth County EMSCertificate of Waiver, Ambulance11D2249797
Related
Questions
What is the CLIA number for Grace V Davis MD PC in Sylvester?
11D0929763, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grace V Davis MD PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0929763 expire?
The CMS file lists June 23, 2027 as the certificate expiration date; the certificate took effect June 24, 2025.