CLIA lab
CLIA 11D1025700: Crisp Regional Health Services
Cordele, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1025700 belongs to Crisp Regional Health Services in Cordele, GA.
Certificate of Waiver, effective May 14, 2026, expires May 13, 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
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 14, 2026
- Certificate expiration
- May 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 14, 2004
- Facility type
- Other
- Ownership (control type)
- Other
- 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
- 11D1025700
- Lab name
- Crisp Regional Health Services
- Additional name
- DBA Blackshear Retirement Willas
- Address
- 1110 Blackshear Road, Cordele, GA 31015
- Phone
- (229) 273-2405
- Fax
- (229) 273-4587
Annual test volume the lab reported
- Waived tests
- 1,030
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Cordele, GA
- 4u Healthcare, LLCCertificate of Waiver, Other practitioner11D2326994
- Adams Drug StoreCertificate of Waiver, Pharmacy11D2155675
- American Medical Georgia,llcCertificate of Waiver, Physician office11D2350242
- Andre D Feria, MD, PCCertificate of Waiver, Physician office11D2274187
- Careconnect Family MedicineCertificate of Waiver, Federally qualified health center11D2301133
- Careconnect Family PracticeCertificate of Waiver, Federally qualified health center11D1103402
- Careconnect PediatricsCertificate of Waiver, Federally qualified health center11D2134599
- Careconnect Urgent CareCertificate of Waiver, Federally qualified health center11D1095030
- Caresouth on Affiliate of Crisp Regional HospitalCertificate of Waiver, Home health agency11D0696665
- Cordele Dialysis CenterCertificate of Waiver, Blood bank11D1079625
Related
Questions
What is the CLIA number for Crisp Regional Health Services in Cordele?
11D1025700, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Crisp Regional Health Services hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1025700 expire?
The CMS file lists May 13, 2028 as the certificate expiration date; the certificate took effect May 14, 2026.