CLIA lab
CLIA 11D0963970: Habersham Retreat Assisted Living #1
Baldwin, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0963970 belongs to Habersham Retreat Assisted Living #1 in Baldwin, GA.
Certificate of Waiver, effective August 17, 2025, expires August 16, 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 of Waiver
- Certificate effective
- August 17, 2025
- Certificate expiration
- August 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 17, 1999
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D0963970
- Lab name
- Habersham Retreat Assisted Living #1
- Address
- 124 Willingham St, Baldwin, GA 30511
- Phone
- (706) 778-1749
- Fax
- (706) 776-9080
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.
Affiliated CLIA numbers
Other labs in Baldwin, GA
- Baldwin Pharmacy, LLCCertificate of Waiver, Pharmacy11D2216562
- Fieldale Farms FamilyCertificate of Waiver, Pharmacy11D2116568
- Habersham Retreat Adult Day CareCertificate of Waiver, Skilled nursing or nursing facility11D0963972
- Lcnghs Laboratory Baldwin PediatricsCertificate of Compliance, Physician office11D0913739
- Lcnghs Obgyn in BaldwinCertificate for Provider-Performed Microscopy Procedures, Physician office11D0906112
- Northside Hospital, Inc - Windermere/BaldwinCertificate of Waiver, Physician office11D2150932
- Oaks - Scenic View Skilled Nursing, LLC, theCertificate of Waiver, Skilled nursing or nursing facility11D0681039
- Oaks-Scenic View Assisted Living, LLC, theCertificate of Waiver, Assisted living facility11D2194360
- Premise Health of Georgia Medical, PCCertificate of Waiver, Physician office11D1035494
Related
Questions
What is the CLIA number for Habersham Retreat Assisted Living #1 in Baldwin?
11D0963970, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Habersham Retreat Assisted Living #1 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0963970 expire?
The CMS file lists August 16, 2027 as the certificate expiration date; the certificate took effect August 17, 2025.