CLIA lab
CLIA 11D2030008: Dodge Co Hosp Auth DBA Eastman Family Practice LLC
Eastman, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2030008 belongs to Dodge Co Hosp Auth DBA Eastman Family Practice LLC in Eastman, GA.
Certificate of Waiver, effective March 21, 2026, expires March 20, 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
- March 21, 2026
- Certificate expiration
- March 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 20, 2011
- Facility type
- Rural health clinic
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2030008
- Lab name
- Dodge Co Hosp Auth DBA Eastman Family Practice LLC
- Address
- 840 Professional Center Drive, Eastman, GA 31023
- Phone
- (478) 374-7801
- Fax
- (478) 374-0337
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Eastman, GA
- Careconnect Convenient Care and PediatricsCertificate of Waiver, Federally qualified health center11D1103404
- Dixie Medical, LLCCertificate of Waiver, Physician office11D2133712
- Dodge County EMSCertificate of Waiver, Other11D2199370
- Dodge County Hospital AuthorityCertificate of Waiver, Physician office11D2250831
- Dodge County Hospital LaboratoryCertificate of Compliance, Hospital11D0021848
- Dodge County Hospital Wound and Hyperbaric CenterCertificate of Waiver, Other11D2313636
- Dodge County Law Enforcement CenterCertificate of Waiver, Other11D2342044
- Donald A Selph Junior MD Facp PCCertificate of Waiver, Physician office11D1098863
- Eastman Healthcare & RehabCertificate of Waiver, Skilled nursing or nursing facility11D0671808
- Eastman Medical Clinic, LLCCertificate of Waiver, Physician office11D2291132
Related
Questions
What is the CLIA number for Dodge Co Hosp Auth DBA Eastman Family Practice LLC in Eastman?
11D2030008, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dodge Co Hosp Auth DBA Eastman Family Practice LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2030008 expire?
The CMS file lists March 20, 2028 as the certificate expiration date; the certificate took effect March 21, 2026.