CLIA lab

CLIA 11D1052555: East Georgia Primary Care

Statesboro, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D1052555 belongs to East Georgia Primary Care in Statesboro, GA.

Certificate of Waiver, effective July 1, 2026, expires June 30, 2028.

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
July 1, 2026
Certificate expiration
June 30, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 28, 2006
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
11D1052555
Lab name
East Georgia Primary Care
Address
4451 Country Club Road Suite 3 A, Statesboro, GA 30458
Phone
(912) 764-2273
Fax
(912) 489-4762

Annual test volume the lab reported

Waived tests
850

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Statesboro, GA

Related

Questions

What is the CLIA number for East Georgia Primary Care in Statesboro?

11D1052555, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does East Georgia Primary Care hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D1052555 expire?

The CMS file lists June 30, 2028 as the certificate expiration date; the certificate took effect July 1, 2026.

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