CLIA lab
CLIA 11D1059001: South Houston Internal Medicine LLC
Perry, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1059001 belongs to South Houston Internal Medicine LLC in Perry, GA.
Certificate of Waiver, effective September 20, 2026, expires September 19, 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
- September 20, 2026
- Certificate expiration
- September 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 20, 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
- 11D1059001
- Lab name
- South Houston Internal Medicine LLC
- Address
- 1018 Keith Drive Suite A, Perry, GA 31069
- Phone
- (478) 987-7444
- Fax
- (478) 987-7747
Annual test volume the lab reported
- Waived tests
- 5,000
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 South Houston Internal Medicine LLC in Perry?
11D1059001, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does South Houston Internal Medicine LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1059001 expire?
The CMS file lists September 19, 2028 as the certificate expiration date; the certificate took effect September 20, 2026.