CLIA lab
CLIA 11D2015305: Southwell Medical Adel Primary Care
Adel, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2015305 belongs to Southwell Medical Adel Primary Care in Adel, GA.
Certificate of Waiver, effective October 26, 2026, expires October 25, 2028.
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 26, 2026
- Certificate expiration
- October 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 26, 2010
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 11D2015305
- Lab name
- Southwell Medical Adel Primary Care
- Address
- 172 Mj Taylor Road, Adel, GA 31620
- Phone
- (229) 353-6121
- Fax
- (229) 353-6192
Annual test volume the lab reported
- Waived tests
- 6,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Adel, GA
- Chancy Drugs AdelCertificate of Waiver, Pharmacy11D2188250
- Cook County Jail - Genesys Health AllianceCertificate of Waiver, Other11D2149601
- Dca of Adel, LLC DBA US Renal Care Adel DialysisCertificate of Waiver, End stage renal disease dialysis facility11D1011655
- Empyrean Hospice of GeorgiaCertificate of Waiver, Hospice11D2292291
- Family Health Center of Adel IncorporatedCertificate for Provider-Performed Microscopy Procedures, Physician office11D1057579
- Southern Roots DPC, LLCCertificate of Waiver, Physician office11D2326797
- Southwell Medical, A Campus of Tift RegionalCertificate of Accreditation, Hospital11D0265621
- Southwell Specialty Clinic AdelCertificate of Waiver, Physician office11D2347795
- Suncrest Home Health of South Georgia, IncCertificate of Waiver, Home health agency11D0879666
- Thomas D Fausett JR MD PCCertificate for Provider-Performed Microscopy Procedures, Physician office11D0996563
Related
Questions
What is the CLIA number for Southwell Medical Adel Primary Care in Adel?
11D2015305, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southwell Medical Adel Primary Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2015305 expire?
The CMS file lists October 25, 2028 as the certificate expiration date; the certificate took effect October 26, 2026.