CLIA lab
CLIA 11D1040187: Southeast Georgia Physician Associates
Saint Marys, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1040187 belongs to Southeast Georgia Physician Associates in Saint Marys, GA.
Certificate of Waiver, effective May 3, 2025, expires May 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
- May 3, 2025
- Certificate expiration
- May 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 3, 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
- 11D1040187
- Lab name
- Southeast Georgia Physician Associates
- Additional name
- Pediatric Office
- Address
- 2040 Dan Proctor Drive Suite 140, Saint Marys, GA 31558
- Phone
- (912) 673-8000
- Fax
- (912) 673-8003
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Carlos A Levy MDCertificate of Waiver, Physician office11D0265424
- Coastal Community Health- ST MarysCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center11D2272906
- Forefront Dermatology, SC DBA Atlantic ShoreCertificate of Waiver, Physician office11D2105172
- Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #04206Certificate of Waiver, Pharmacy11D2255733
- Guardian Medical Care, PLLCCertificate of Waiver, Physician office11D2189946
- Kings Bay Family CareCertificate of Waiver, Physician office11D2313562
- Magnolia Manor Saint MarysCertificate of Waiver, Other11D1036833
Related
Questions
What is the CLIA number for Southeast Georgia Physician Associates in Saint Marys?
11D1040187, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southeast Georgia Physician Associates hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1040187 expire?
The CMS file lists May 2, 2027 as the certificate expiration date; the certificate took effect May 3, 2025.