CLIA lab
CLIA 11D1029234: Hazlehurst Family Clinic LLC
Douglas, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1029234 belongs to Hazlehurst Family Clinic LLC in Douglas, GA.
Certificate of Waiver, effective March 3, 2025, expires March 2, 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
- March 3, 2025
- Certificate expiration
- March 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 12, 2004
- 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
- 11D1029234
- Lab name
- Hazlehurst Family Clinic LLC
- Address
- 906 West Bryan Street, Douglas, GA 31533
- Phone
- (912) 383-9300
- Fax
- (912) 383-9292
Annual test volume the lab reported
- Waived tests
- 150
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 Hazlehurst Family Clinic LLC in Douglas?
11D1029234, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hazlehurst Family Clinic LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1029234 expire?
The CMS file lists March 2, 2027 as the certificate expiration date; the certificate took effect March 3, 2025.