CLIA lab
CLIA 11D1032456: Augusta State Medical Prison
Grovetown, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1032456 belongs to Augusta State Medical Prison in Grovetown, GA.
Certificate of Waiver, effective July 1, 2026, expires June 30, 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
- July 1, 2026
- Certificate expiration
- June 30, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 25, 2004
- Facility type
- Prison
- Ownership (control type)
- Government, state
- 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
- 11D1032456
- Lab name
- Augusta State Medical Prison
- Address
- 3001 Gordon Highway, Grovetown, GA 30813
- Phone
- (678) 470-3977
- Fax
- (800) 858-6305
Annual test volume the lab reported
- Waived tests
- 50,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Augusta ENT PCCertificate of Waiver, Physician office11D2301611
- Barney's Pharmacy-GrovetownCertificate of Waiver, Pharmacy11D2101458
- Center for Primary Care - GatewayCertificate of Accreditation, Physician office11D2061383
- Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04589Certificate of Waiver, Pharmacy11D2255879
- Grovetown Dialysis Clinic LLCCertificate of Waiver, End stage renal disease dialysis facility11D0913288
- Grovetown Fire RescueCertificate of Waiver, Other11D2260720
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Related
Questions
What is the CLIA number for Augusta State Medical Prison in Grovetown?
11D1032456, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Augusta State Medical Prison hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1032456 expire?
The CMS file lists June 30, 2028 as the certificate expiration date; the certificate took effect July 1, 2026.