CLIA lab

CLIA 11D1062978: ST Marys Medical Group, Inc

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

CLIA number 11D1062978 belongs to ST Marys Medical Group, Inc in Lavonia, GA.

Certificate of Waiver, effective January 3, 2025, expires January 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
January 3, 2025
Certificate expiration
January 2, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 3, 2007
Facility type
Physician office
Ownership (control type)
Religious affiliation
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
11D1062978
Lab name
ST Marys Medical Group, Inc
Additional name
DBA Sacred Heart Primary Care
Address
355 Clear Creek Parkway, Suite 1003, Lavonia, GA 30553
Phone
(706) 356-1422
Fax
(706) 356-1425

Annual test volume the lab reported

Waived tests
100

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

Other labs in Lavonia, GA

Related

Questions

What is the CLIA number for ST Marys Medical Group, Inc in Lavonia?

11D1062978, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does ST Marys Medical Group, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D1062978 expire?

The CMS file lists January 2, 2027 as the certificate expiration date; the certificate took effect January 3, 2025.

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