CLIA lab
CLIA 11D1105704: Effingham Hospital Inc
Port Wentworth, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1105704 belongs to Effingham Hospital Inc in Port Wentworth, GA.
Certificate for Provider-Performed Microscopy Procedures, effective September 28, 2025, expires September 27, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 28, 2025
- Certificate expiration
- September 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 28, 2009
- Facility type
- Rural health clinic
- Ownership (control type)
- Private
- 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
- 11D1105704
- Lab name
- Effingham Hospital Inc
- Additional name
- DBA Effingham Family Mne at Port Wentworth
- Address
- 7306 Highway 21 N Suite 105, Port Wentworth, GA 31407
- Phone
- (912) 966-2575
- Fax
- (912) 966-0906
Annual test volume the lab reported
- Waived tests
- 500
- Provider-performed microscopy tests
- 30
- Total
- 530
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Port Wentworth, GA
- ExpercareCertificate of Waiver, Physician office11D2345395
- Front Porch Recovery CenterCertificate of Waiver, Other11D2311026
- GCF US Holding LLCCertificate of Waiver, Industrial11D2284474
- Georgia CVS Pharmacy, LLCCertificate of Waiver, Pharmacy11D2282479
- Interstate Health Systems IncCertificate of Waiver, Physician office11D2284062
- Meyty Mobile Labs, LLCCertificate of Waiver, Mobile lab11D2288090
- Port Wentworth Fire DepartmentCertificate of Waiver, Other11D2261507
- Pruitthealth - Seaside, LLCCertificate of Waiver, Skilled nursing or nursing facility11D0264892
Related
Questions
What is the CLIA number for Effingham Hospital Inc in Port Wentworth?
11D1105704, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Effingham Hospital Inc hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D1105704 expire?
The CMS file lists September 27, 2027 as the certificate expiration date; the certificate took effect September 28, 2025.