CLIA lab
CLIA 11D2030132: Southwest Gerogia Healthcare Clinics Pediatric CTR
Donalsonville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2030132 belongs to Southwest Gerogia Healthcare Clinics Pediatric CTR in Donalsonville, GA.
Certificate of Waiver, effective September 22, 2025, expires September 21, 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
- September 22, 2025
- Certificate expiration
- September 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 22, 2011
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 11D2030132
- Lab name
- Southwest Gerogia Healthcare Clinics Pediatric CTR
- Address
- 205 Bresee Street, Donalsonville, GA 39845
- Phone
- (229) 524-1307
- Fax
- (229) 524-6268
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Magnolia Womens CenterCertificate for Provider-Performed Microscopy Procedures, Physician office11D2290313
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- Seminole Manor Nursing HomeCertificate of Waiver, Skilled nursing or nursing facility11D2195797
- Southeast Cardiology ClinicCertificate of Waiver, Physician office11D2090443
- Southwest Ga Healthcare Clinics, IncCertificate of Waiver, Other11D2347440
- Southwest Georgia Healthcare Clinics IncCertificate of Waiver, Physician office11D0266091
- Southwest Georgia Healthcare Clinics, IncCertificate of Waiver, Federally qualified health center11D2350557
Related
Questions
What is the CLIA number for Southwest Gerogia Healthcare Clinics Pediatric CTR in Donalsonville?
11D2030132, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southwest Gerogia Healthcare Clinics Pediatric CTR hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2030132 expire?
The CMS file lists September 21, 2027 as the certificate expiration date; the certificate took effect September 22, 2025.