CLIA lab
CLIA 11D0954040: Kid Doctor PC, the
Douglas, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0954040 belongs to Kid Doctor PC, the in Douglas, GA.
Certificate for Provider-Performed Microscopy Procedures, effective November 17, 2024, expires November 16, 2026.
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 for Provider-Performed Microscopy Procedures
- Certificate effective
- November 17, 2024
- Certificate expiration
- November 16, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 17, 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
- 11D0954040
- Lab name
- Kid Doctor PC, the
- Address
- 100 Doctors Dr, Suite 104, Douglas, GA 31533
- Phone
- (912) 383-4352
Annual test volume the lab reported
- Waived tests
- 430
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 Kid Doctor PC, the in Douglas?
11D0954040, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kid Doctor PC, the hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D0954040 expire?
The CMS file lists November 16, 2026 as the certificate expiration date; the certificate took effect November 17, 2024.