CLIA lab
CLIA 11D2041260: Colquitt Regional Urology D/B/A SW Ga Urology
Moultrie, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2041260 belongs to Colquitt Regional Urology D/B/A SW Ga Urology in Moultrie, GA.
Certificate for Provider-Performed Microscopy Procedures, effective May 21, 2026, expires May 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- May 21, 2026
- Certificate expiration
- May 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 21, 2012
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 11D2041260
- Lab name
- Colquitt Regional Urology D/B/A SW Ga Urology
- Address
- 115 31st Avenue, Southeast, Moultrie, GA 31768
- Phone
- (229) 891-9148
- Fax
- (229) 217-4910
Annual test volume the lab reported
- Waived tests
- 60
- Provider-performed microscopy tests
- 7,500
- Total
- 7,560
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Colquitt Regional Urology D/B/A SW Ga Urology in Moultrie?
11D2041260, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Colquitt Regional Urology D/B/A SW Ga Urology hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D2041260 expire?
The CMS file lists May 20, 2028 as the certificate expiration date; the certificate took effect May 21, 2026.