CLIA lab
CLIA 11D0930063: Tift Internal Medicine Center LLC
Tifton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0930063 belongs to Tift Internal Medicine Center LLC in Tifton, GA.
Certificate of Waiver, effective May 5, 2026, expires May 4, 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
- May 5, 2026
- Certificate expiration
- May 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 27, 1997
- 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
- 11D0930063
- Lab name
- Tift Internal Medicine Center LLC
- Address
- 39 Kent Road, Suite 1, Tifton, GA 31794
- Phone
- (229) 391-3555
- Fax
- (229) 391-3560
Annual test volume the lab reported
- Waived tests
- 2,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Tift Internal Medicine Center LLC in Tifton?
11D0930063, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tift Internal Medicine Center LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0930063 expire?
The CMS file lists May 4, 2028 as the certificate expiration date; the certificate took effect May 5, 2026.