CLIA lab
CLIA 11D1041356: Family Practice Surgery Clinic
Eatonton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1041356 belongs to Family Practice Surgery Clinic in Eatonton, GA.
Certificate of Waiver, effective May 31, 2025, expires May 30, 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 31, 2025
- Certificate expiration
- May 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 31, 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
- 11D1041356
- Lab name
- Family Practice Surgery Clinic
- Address
- 120 Sparta Highway, Eatonton, GA 31024
- Phone
- (706) 485-4002
- Fax
- (706) 485-7117
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Cardiology Care Clinic, LLCCertificate of Waiver, Physician office11D2044459
- Eantonton Kidney CenterCertificate of Waiver, End stage renal disease dialysis facility11D2146641
- Eatonton Health & RehabCertificate of Waiver, Skilled nursing or nursing facility11D0722020
- Eatonton PedicatricsCertificate of Waiver, Physician office11D1012974
- HerdocCertificate of Waiver, Physician office11D2276073
- Lake Oconee Medical Associates, LLCCertificate of Waiver, Physician office11D2348699
- Lake Oconee Urgent & Specialty Care CenterCertificate of Waiver, Other11D2021852
- Mercer Medicine Putnam CountyCertificate of Waiver, Physician office11D2214323
- Oconee Valley HealthcareCertificate of Waiver, Federally qualified health center11D2276268
Related
Questions
What is the CLIA number for Family Practice Surgery Clinic in Eatonton?
11D1041356, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Family Practice Surgery Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1041356 expire?
The CMS file lists May 30, 2027 as the certificate expiration date; the certificate took effect May 31, 2025.