CLIA lab
CLIA 11D0964464: Coastal Manor
Ludowici, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0964464 belongs to Coastal Manor in Ludowici, GA.
Certificate of Waiver, effective August 26, 2025, expires August 25, 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 26, 2025
- Certificate expiration
- August 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 26, 1999
- Facility type
- Skilled nursing or nursing facility
- 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
- 11D0964464
- Lab name
- Coastal Manor
- Address
- 82 Ludowici Industrial Park, Ludowici, GA 31316
- Phone
- (912) 369-9400
- Fax
- (912) 877-9438
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.
Other labs in Ludowici, GA
- Diversity Health Center IncorporateCertificate of Waiver, Federally qualified health center11D1077851
- Excelsior Ambulance ServiceCertificate of Waiver, Ambulance11D2185394
- Hospital Puthority of Wayne CountyCertificate of Waiver, Community clinic11D1103003
- Long County Board of EducationCertificate of Waiver, School or student health service11D2121555
- Long State PrisonCertificate of Waiver, Prison11D2246541
Related
Questions
What is the CLIA number for Coastal Manor in Ludowici?
11D0964464, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Coastal Manor hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0964464 expire?
The CMS file lists August 25, 2027 as the certificate expiration date; the certificate took effect August 26, 2025.