CLIA lab
CLIA 11D1046156: Sumter Pediatrics Montezuma
Montezuma, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1046156 belongs to Sumter Pediatrics Montezuma in Montezuma, GA.
Certificate of Waiver, effective October 3, 2025, expires October 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
- October 3, 2025
- Certificate expiration
- October 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 3, 2005
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D1046156
- Lab name
- Sumter Pediatrics Montezuma
- Address
- 105 Walnut Street, Montezuma, GA 31063
- Phone
- (478) 472-4633
- Fax
- (478) 472-4637
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.
Other labs in Montezuma, GA
- Careconnect PediatricsCertificate of Waiver, Federally qualified health center11D2092660
- Flint River HospitalCertificate of Waiver, Hospital11D0263731
- Flint River Rural Health ClinicCertificate for Provider-Performed Microscopy Procedures, Rural health clinic11D0673460
- Medicine Stop IICertificate of Waiver, Pharmacy11D2326330
- Montezuma Health & RehabCertificate of Waiver, Skilled nursing or nursing facility11D0900238
- Uclear Testing & WellnessCertificate of Waiver, Independent11D2349386
Related
Questions
What is the CLIA number for Sumter Pediatrics Montezuma in Montezuma?
11D1046156, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sumter Pediatrics Montezuma hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1046156 expire?
The CMS file lists October 2, 2027 as the certificate expiration date; the certificate took effect October 3, 2025.