CLIA lab
CLIA 11D1046157: Wiggins Family Practice
Vidalia, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1046157 belongs to Wiggins Family Practice in Vidalia, 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
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D1046157
- Lab name
- Wiggins Family Practice
- Address
- 205 Arlington Avenue, Vidalia, GA 30474
- Phone
- (912) 537-2530
- Fax
- (912) 537-9668
Annual test volume the lab reported
- Waived tests
- 1,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Wiggins Family Practice in Vidalia?
11D1046157, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wiggins Family Practice hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1046157 expire?
The CMS file lists October 2, 2027 as the certificate expiration date; the certificate took effect October 3, 2025.