CLIA lab

CLIA 11D1100363: Good Samaritan Clinic

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

CLIA number 11D1100363 belongs to Good Samaritan Clinic in Garden City, GA.

Certificate of Waiver, effective June 4, 2025, expires June 3, 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
June 4, 2025
Certificate expiration
June 3, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 4, 2009
Facility type
Community clinic
Ownership (control type)
Religious affiliation
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
11D1100363
Lab name
Good Samaritan Clinic
Address
4704 Augusta Road, Garden City, GA 31408
Phone
(912) 964-4326
Fax
(912) 964-1825

Annual test volume the lab reported

Waived tests
156

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

Other labs in Garden City, GA

Related

Questions

What is the CLIA number for Good Samaritan Clinic in Garden City?

11D1100363, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Good Samaritan Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D1100363 expire?

The CMS file lists June 3, 2027 as the certificate expiration date; the certificate took effect June 4, 2025.

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