CLIA lab

CLIA 11D1073777: East Georgia Urology

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

CLIA number 11D1073777 belongs to East Georgia Urology in Statesboro, GA.

Certificate for Provider-Performed Microscopy Procedures, effective July 23, 2025, expires July 22, 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 for Provider-Performed Microscopy Procedures
Certificate effective
July 23, 2025
Certificate expiration
July 22, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
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
11D1073777
Lab name
East Georgia Urology
Address
1497 Fair Road, Suite 102, Statesboro, GA 30458
Phone
(912) 764-9001
Fax
(912) 764-3166

Annual test volume the lab reported

Provider-performed microscopy tests
2,800

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 Urology in Statesboro?

11D1073777, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does East Georgia Urology hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 11D1073777 expire?

The CMS file lists July 22, 2027 as the certificate expiration date; the certificate took effect July 23, 2025.

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