CLIA lab
CLIA 11D1091011: Perry VA Clinic
Kathleen, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1091011 belongs to Perry VA Clinic in Kathleen, GA.
Certificate of Accreditation, effective October 23, 2008, expires May 22, 2032.
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 Accreditation
- Certificate effective
- October 23, 2008
- Certificate expiration
- May 22, 2032
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 23, 2008
- Facility type
- Ambulatory surgery center
- Ownership (control type)
- Government, federal
- Lab classification
- CLIA VA laboratory
- Accrediting organizations
- The Joint Commission
- 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
- 11D1091011
- Lab name
- Perry VA Clinic
- Address
- 1309 South Main Street, Kathleen, GA 31047
- Phone
- (478) 224-1309
- Fax
- (478) 224-1316
Annual test volume the lab reported
- Waived tests
- 50
- Tests under accreditation
- 50
- Total
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Kathleen, GA
- Atrium Hlth Navicent Primary Care Family MedicineCertificate of Waiver, Physician office11D2326002
- Connect EMS Transport Services, LLCCertificate of Waiver, Health fair11D2331015
- Lake Joy Med-StopCertificate of Compliance, Other11D1057794
- Onsite Medical Clinic at Frito Lay - PerryCertificate of Waiver, Physician office11D2174475
- Pediatric Convenient CareCertificate of Waiver, Federally qualified health center11D2226422
- Weighless MD and WellnessCertificate of Waiver, Independent11D2345686
Related
Questions
What is the CLIA number for Perry VA Clinic in Kathleen?
11D1091011, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Perry VA Clinic hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 11D1091011 expire?
The CMS file lists May 22, 2032 as the certificate expiration date; the certificate took effect October 23, 2008.