CLIA lab
CLIA 11D1093633: Kevin M Holloway MD
Cordele, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1093633 belongs to Kevin M Holloway MD in Cordele, GA.
Certificate for Provider-Performed Microscopy Procedures, effective December 29, 2024, expires December 28, 2026.
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
- December 29, 2024
- Certificate expiration
- December 28, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 29, 2008
- Facility type
- Physician office
- Ownership (control type)
- Government, county
- 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
- 11D1093633
- Lab name
- Kevin M Holloway MD
- Address
- 110 4th Avenue East, Cordele, GA 31015
- Phone
- (229) 276-2190
- Fax
- (229) 276-2191
Annual test volume the lab reported
- Provider-performed microscopy tests
- 275
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Cordele Dialysis CenterCertificate of Waiver, Blood bank11D1079625
Related
Questions
What is the CLIA number for Kevin M Holloway MD in Cordele?
11D1093633, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kevin M Holloway MD hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D1093633 expire?
The CMS file lists December 28, 2026 as the certificate expiration date; the certificate took effect December 29, 2024.