CLIA lab
CLIA 11D0938739: Brandon Wilde LLC
Evans, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0938739 belongs to Brandon Wilde LLC in Evans, GA.
Certificate of Waiver, effective January 14, 2026, expires January 13, 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
- January 14, 2026
- Certificate expiration
- January 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 14, 1998
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D0938739
- Lab name
- Brandon Wilde LLC
- Additional name
- DBA Pavilion at Brandon Wilde
- Address
- 4275 Owens Road, Evans, GA 30809
- Phone
- (706) 868-9800
- Fax
- (706) 868-3575
Annual test volume the lab reported
- Waived tests
- 2,275
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Pavilion at Brandon WildeCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Evans, GA
- 4408 Evans To Locks RD (F)Certificate of Waiver, Other11D2259982
- 4733 Rhett DriveCertificate of Waiver, Other11D2259986
- Advanced Gynecology Specialists of AugustaCertificate of Waiver, Physician office11D1098764
- Aucc EvansCertificate of Waiver, Physician office11D2187769
- Augusta ENTCertificate of Waiver, Physician office11D1029442
- Augusta Endoscopy CenterCertificate of Waiver, Ambulatory surgery center11D1005480
- Augusta Obstetrics and Gynecology Specialists LLCCertificate for Provider-Performed Microscopy Procedures, Physician office11D1070187
- Augusta Urology Associates LLCCertificate of Compliance, Physician office11D0938125
- Bio Medical Applications of Georgia IncorporateCertificate of Waiver, End stage renal disease dialysis facility11D1073395
- Camellia WalkCertificate of Waiver, Assisted living facility11D2211080
Related
Questions
What is the CLIA number for Brandon Wilde LLC in Evans?
11D0938739, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Brandon Wilde LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0938739 expire?
The CMS file lists January 13, 2028 as the certificate expiration date; the certificate took effect January 14, 2026.