CLIA lab
CLIA 11D1035494: Premise Health of Georgia Medical, PC
Baldwin, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1035494 belongs to Premise Health of Georgia Medical, PC in Baldwin, GA.
Certificate of Waiver, effective May 10, 2026, expires May 9, 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
- May 10, 2026
- Certificate expiration
- May 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 4, 2005
- 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
- 11D1035494
- Lab name
- Premise Health of Georgia Medical, PC
- Address
- 184 Professional Drive Ste A, Baldwin, GA 30511
- Phone
- (706) 894-2714
- Fax
- (706) 894-2715
Annual test volume the lab reported
- Waived tests
- 450
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Lcnghs Laboratory Baldwin PediatricsCertificate of Compliance, Physician office11D0913739
- Lcnghs Obgyn in BaldwinCertificate for Provider-Performed Microscopy Procedures, Physician office11D0906112
- Northside Hospital, Inc - Windermere/BaldwinCertificate of Waiver, Physician office11D2150932
- Oaks - Scenic View Skilled Nursing, LLC, theCertificate of Waiver, Skilled nursing or nursing facility11D0681039
- Oaks-Scenic View Assisted Living, LLC, theCertificate of Waiver, Assisted living facility11D2194360
Related
Questions
What is the CLIA number for Premise Health of Georgia Medical, PC in Baldwin?
11D1035494, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Georgia Medical, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1035494 expire?
The CMS file lists May 9, 2028 as the certificate expiration date; the certificate took effect May 10, 2026.