CLIA lab
CLIA 11D1075285: Southern Crescent Nephrology PC
Locust Grove, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1075285 belongs to Southern Crescent Nephrology PC in Locust Grove, GA.
Certificate of Waiver, effective April 1, 2025, expires March 31, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 1, 2025
- Certificate expiration
- March 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 17, 2007
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D1075285
- Lab name
- Southern Crescent Nephrology PC
- Address
- 531 Stanley K Tanger Blvd, Locust Grove, GA 30248
- Phone
- (678) 289-0508
- Fax
- (678) 289-0124
Annual test volume the lab reported
- Waived tests
- 240
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Locust Grove, GA
- Aga LLCCertificate of Waiver, Physician office11D1079881
- Atlanta Heart Associates, PCCertificate of Waiver, Physician office11D2020892
- Aylo Health- Locust GroveCertificate of Accreditation, Physician office11D0925484
- Carenova IncCertificate of Waiver, Physician office11D2329094
- Dna Med Services LLCCertificate of Waiver, Independent11D2328959
- Emory Medical Laboratory at Locust GroveCertificate of Waiver, Other11D1005484
- ExpercareCertificate of Waiver, Physician office11D2345397
- FP- Peachtree Immediate Care-LgvCertificate of Waiver, Physician office11D2189680
- Family Medical and Urgent Care Clinic LLCCertificate of Compliance, Physician office11D2287107
- Fresenius Kidney Care Locust GroveCertificate of Waiver, End stage renal disease dialysis facility11D2172137
Related
Questions
What is the CLIA number for Southern Crescent Nephrology PC in Locust Grove?
11D1075285, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Crescent Nephrology PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1075285 expire?
The CMS file lists March 31, 2027 as the certificate expiration date; the certificate took effect April 1, 2025.