CLIA lab
CLIA 11D1053459: Samuel L Church MD PC
Hiawassee, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1053459 belongs to Samuel L Church MD PC in Hiawassee, GA.
Certificate of Waiver, effective April 25, 2026, expires April 24, 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
- April 25, 2026
- Certificate expiration
- April 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 25, 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
- 11D1053459
- Lab name
- Samuel L Church MD PC
- Address
- 85 Seasons Lane, Hiawassee, GA 30546
- Phone
- (706) 896-0505
- Fax
- (706) 435-9910
Annual test volume the lab reported
- Waived tests
- 2,600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Hiawassee, GA
- Chatuge Regional Hosp & Nursing HomeCertificate of Compliance, Hospital11D0261672
- Chatuge Regional Nursing HomeCertificate of Waiver, Skilled nursing or nursing facility11D0261673
- Edwards Medical Practice LLCCertificate for Provider-Performed Microscopy Procedures, Physician office11D1048549
- Georgia Heart Institute HiawasseeCertificate of Waiver, Physician office11D2348722
- Ingles Markets, Inc (Ingles Pharmacy #483)Certificate of Waiver, Pharmacy11D2184969
- Kilee R Smith DO PC D/B/A Serendipity ClinicCertificate of Waiver, Physician office11D2069124
- North Georgia Family MedicineCertificate of Waiver, Physician office11D2118732
- Riverfront RecoveryCertificate of Waiver, Other11D2340678
- Towns County School ClinicCertificate of Waiver, School or student health service11D2153062
Related
Questions
What is the CLIA number for Samuel L Church MD PC in Hiawassee?
11D1053459, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Samuel L Church MD PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1053459 expire?
The CMS file lists April 24, 2028 as the certificate expiration date; the certificate took effect April 25, 2026.