CLIA lab
CLIA 11D1064969: Bethany Hospice
Valdosta, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1064969 belongs to Bethany Hospice in Valdosta, GA.
Certificate of Waiver, effective February 19, 2025, expires February 18, 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
- February 19, 2025
- Certificate expiration
- February 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 19, 2007
- Facility type
- Hospice
- 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
- 11D1064969
- Lab name
- Bethany Hospice
- Address
- 2700 North Oak St, Bld B, Valdosta, GA 31602
- Phone
- (912) 384-6100
- Fax
- (912) 384-5701
Annual test volume the lab reported
- Waived tests
- 50
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 Bethany Hospice in Valdosta?
11D1064969, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bethany Hospice hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1064969 expire?
The CMS file lists February 18, 2027 as the certificate expiration date; the certificate took effect February 19, 2025.