CLIA lab

CLIA 11D1095526: Tattnal Hospital Company

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

CLIA number 11D1095526 belongs to Tattnal Hospital Company in Glennville, GA.

Certificate of Waiver, effective February 11, 2025, expires February 10, 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 11, 2025
Certificate expiration
February 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 11, 2009
Facility type
Rural health clinic
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
11D1095526
Lab name
Tattnal Hospital Company
Additional name
D/B/A Optim Primary Care-Glennville
Address
1000 B N Veterans Blvd, Glennville, GA 30427
Phone
(912) 654-4599
Fax
(912) 654-4548

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Glennville, GA

Related

Questions

What is the CLIA number for Tattnal Hospital Company in Glennville?

11D1095526, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Tattnal Hospital Company hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D1095526 expire?

The CMS file lists February 10, 2027 as the certificate expiration date; the certificate took effect February 11, 2025.

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