CLIA lab
CLIA 11D0996563: Thomas D Fausett JR MD PC
Adel, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0996563 belongs to Thomas D Fausett JR MD PC in Adel, GA.
Certificate for Provider-Performed Microscopy Procedures, effective February 21, 2026, expires February 20, 2028.
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 21, 2026
- Certificate expiration
- February 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 21, 2002
- 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
- 11D0996563
- Lab name
- Thomas D Fausett JR MD PC
- Address
- 707 N Parrish Avenue, Adel, GA 31620
- Phone
- (229) 896-7007
- Fax
- (229) 896-7627
Annual test volume the lab reported
- Waived tests
- 1,000
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 Thomas D Fausett JR MD PC in Adel?
11D0996563, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Thomas D Fausett JR MD PC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D0996563 expire?
The CMS file lists February 20, 2028 as the certificate expiration date; the certificate took effect February 21, 2026.