CLIA lab
CLIA 11D1031801: Internal Medicine and Geriatrics
Bonaire, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1031801 belongs to Internal Medicine and Geriatrics in Bonaire, GA.
Certificate of Waiver, effective October 12, 2024, expiration date October 11, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 12, 2024
- Certificate expiration
- October 11, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 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
- 11D1031801
- Lab name
- Internal Medicine and Geriatrics
- Additional name
- Of Houston LLC
- Address
- 201 Stillwater Circle, Bonaire, GA 31005
- Phone
- (478) 328-9690
- Fax
- (478) 328-9692
Annual test volume the lab reported
- Waived tests
- 1,040
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Bonaire, GA
- Bonaire Med StopCertificate of Compliance, Other11D2200388
- FP- Peachtree Immediate Care (Bna)Certificate of Waiver, Physician office11D2276604
- Hometown Occupational Medicine, LLCCertificate of Waiver, Other11D2278749
- Houston Family MedicineCertificate of Waiver, Physician office11D0934297
- Houston Primary Care Physicians, LLCCertificate of Waiver, Physician office11D2231914
- Kroger Pharmacy #641Certificate of Waiver, Pharmacy11D2098984
- Primary Pediatrics of BonaireCertificate of Compliance, Physician office11D2160839
- Southeast Medical Group DBA Houston Family CareCertificate of Waiver, Physician office11D2323352
- UC- Peachtree Immediate Care (Bna)Certificate of Waiver, Physician office11D2276606
- Womens Healthcare of Middle GaCertificate for Provider-Performed Microscopy Procedures, Physician office11D2286120
Related
Questions
What is the CLIA number for Internal Medicine and Geriatrics in Bonaire?
11D1031801, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Internal Medicine and Geriatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1031801 expire?
The CMS file lists October 11, 2026 as the certificate expiration date; the certificate took effect October 12, 2024.