CLIA lab
CLIA 11D1012165: Mccaysville Internal Medicine
Blue Ridge, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1012165 belongs to Mccaysville Internal Medicine in Blue Ridge, GA.
Certificate of Waiver, effective May 2, 2025, expires May 1, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- May 2, 2025
- Certificate expiration
- May 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 2, 2003
- 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
- 11D1012165
- Lab name
- Mccaysville Internal Medicine
- Address
- 6 Elm Street, Blue Ridge, GA 30513
- Phone
- (706) 492-4294
- Fax
- (706) 492-4226
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.
Other labs in Blue Ridge, GA
- Blue Ridge Georgia Hospital Company, LLCCertificate of Accreditation, Hospital11D0708538
- Blue Ridge PharmacyCertificate of Waiver, Pharmacy11D2234743
- Fannin County Fire/ EMSCertificate of Waiver, Ambulance11D2196567
- Fannin County JailCertificate of Waiver, Other11D1099371
- Fannin County SchoolsCertificate of Waiver, School or student health service11D2268253
- Georgia Mountains Health at MorgantonCertificate of Waiver, Federally qualified health center11D0261697
- Heart and Vascular CareCertificate of Waiver, Physician office11D2286634
- Her Hope Pregnancy Center, IncCertificate of Waiver, Other11D2310674
- Hidden Valley Medical Center, IncCertificate of Waiver, Physician office11D0976262
- Hidden Valley Medical Center, IncCertificate of Waiver, Physician office11D1092447
Related
Questions
What is the CLIA number for Mccaysville Internal Medicine in Blue Ridge?
11D1012165, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mccaysville Internal Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1012165 expire?
The CMS file lists May 1, 2027 as the certificate expiration date; the certificate took effect May 2, 2025.