CLIA lab
CLIA 11D1040513: Southern Community Hospice, Inc
Vidalia, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1040513 belongs to Southern Community Hospice, Inc in Vidalia, GA.
Certificate of Waiver, effective December 9, 2025, expires December 8, 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
- December 9, 2025
- Certificate expiration
- December 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 11, 2005
- Facility type
- Hospice
- 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
- 11D1040513
- Lab name
- Southern Community Hospice, Inc
- Additional name
- DBA Community Hospice
- Address
- 904 Mount Vernon Road, Vidalia, GA 30474
- Phone
- (912) 537-0063
- Fax
- (912) 537-2005
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Community HospiceCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Southern Community Hospice, Inc in Vidalia?
11D1040513, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Community Hospice, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1040513 expire?
The CMS file lists December 8, 2027 as the certificate expiration date; the certificate took effect December 9, 2025.