CLIA lab

CLIA 11D1106704: Dsi Macon, LLC

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

CLIA number 11D1106704 belongs to Dsi Macon, LLC in Milledgeville, GA.

Certificate of Waiver, effective October 21, 2025, expires October 20, 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
October 21, 2025
Certificate expiration
October 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 21, 2009
Facility type
End stage renal disease dialysis facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
4

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D1106704
Lab name
Dsi Macon, LLC
Additional name
D/B/A/ US Renal Care Milledgeville Dialysis
Address
411 North Jefferson Street, NE, Milledgeville, GA 31061
Phone
(478) 453-0964
Fax
(478) 453-0980

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.

Affiliated CLIA numbers

Other labs in Milledgeville, GA

Related

Questions

What is the CLIA number for Dsi Macon, LLC in Milledgeville?

11D1106704, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Dsi Macon, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D1106704 expire?

The CMS file lists October 20, 2027 as the certificate expiration date; the certificate took effect October 21, 2025.

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