CLIA lab

CLIA 11D0955349: Samuel B Cobarrubias MD PC

Homerville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D0955349 belongs to Samuel B Cobarrubias MD PC in Homerville, GA.

Certificate of Waiver, effective November 23, 2024, expires November 22, 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 of Waiver
Certificate effective
November 23, 2024
Certificate expiration
November 22, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 28, 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
11D0955349
Lab name
Samuel B Cobarrubias MD PC
Address
180 Carswell Street, Homerville, GA 31634
Phone
(912) 487-1654
Fax
(912) 487-1659

Annual test volume the lab reported

Waived tests
500

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 Samuel B Cobarrubias MD PC in Homerville?

11D0955349, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Samuel B Cobarrubias MD PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D0955349 expire?

The CMS file lists November 22, 2026 as the certificate expiration date; the certificate took effect November 23, 2024.

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