CLIA lab
CLIA 11D1017557: Harrison C Carter MD
Baxley, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1017557 belongs to Harrison C Carter MD in Baxley, GA.
Certificate of Waiver, effective March 22, 2026, expires March 21, 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 of Waiver
- Certificate effective
- March 22, 2026
- Certificate expiration
- March 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 29, 2003
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D1017557
- Lab name
- Harrison C Carter MD
- Address
- 1093 Parker Street, Baxley, GA 31513
- Phone
- (912) 367-9559
- Fax
- (912) 367-9554
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Baxley, GA
- 912 Healthcare, LLCCertificate of Waiver, Physician office11D2351070
- Altamaha Homecare IncorporatedCertificate of Waiver, Home health agency11D0724086
- Appling County Ambulance ServiceCertificate of Waiver, Ambulance11D2199373
- Appling County Board of EducationCertificate of Waiver, School or student health service11D2107538
- Appling Family Total Healthcare, PCCertificate of Waiver, Other practitioner11D2033904
- Appling Healthcare SystemCertificate of Accreditation, Hospital11D0022129
- Appling ItfCertificate of Waiver, Prison11D2237834
- Appling Medical Group- DR O V FernandoCertificate for Provider-Performed Microscopy Procedures, Rural health clinic11D0943174
- Appling Nursing & Rehabilitation PavilionCertificate of Waiver, Skilled nursing or nursing facility11D2191866
- Appling PediatricsCertificate for Provider-Performed Microscopy Procedures, Physician office11D0976294
Related
Questions
What is the CLIA number for Harrison C Carter MD in Baxley?
11D1017557, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Harrison C Carter MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1017557 expire?
The CMS file lists March 21, 2028 as the certificate expiration date; the certificate took effect March 22, 2026.