CLIA lab
CLIA 11D0958567: Memorial Pediatrics
Bainbridge, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0958567 belongs to Memorial Pediatrics in Bainbridge, GA.
Certificate for Provider-Performed Microscopy Procedures, effective February 8, 2025, expires February 7, 2027.
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
- February 8, 2025
- Certificate expiration
- February 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 22, 1999
- Facility type
- Physician office
- Ownership (control type)
- Government, county
- 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
- 11D0958567
- Lab name
- Memorial Pediatrics
- Address
- 603 South Wheat Avenue, Suite 450, Bainbridge, GA 39819
- Phone
- (229) 243-1209
- Fax
- (229) 243-7707
Annual test volume the lab reported
- Waived tests
- 100
- Provider-performed microscopy tests
- 50
- Total
- 150
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 Memorial Pediatrics in Bainbridge?
11D0958567, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Memorial Pediatrics hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D0958567 expire?
The CMS file lists February 7, 2027 as the certificate expiration date; the certificate took effect February 8, 2025.