CLIA lab
CLIA 11D0948247: C Wayne Dodgen MD
Thomaston, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0948247 belongs to C Wayne Dodgen MD in Thomaston, GA.
Certificate of Waiver, effective July 6, 2026, expires July 5, 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
- July 6, 2026
- Certificate expiration
- July 5, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 6, 1998
- 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
- 11D0948247
- Lab name
- C Wayne Dodgen MD
- Address
- 107 Jackson Ave, Thomaston, GA 30286
- Phone
- (706) 647-8101
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.
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Related
Questions
What is the CLIA number for C Wayne Dodgen MD in Thomaston?
11D0948247, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does C Wayne Dodgen MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0948247 expire?
The CMS file lists July 5, 2028 as the certificate expiration date; the certificate took effect July 6, 2026.