CLIA lab

CLIA 11D2041765: Tattnall Hospital Company

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

CLIA number 11D2041765 belongs to Tattnall Hospital Company in Statesboro, GA.

Certificate of Waiver, effective May 30, 2026, expires May 29, 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
May 30, 2026
Certificate expiration
May 29, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 30, 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
11D2041765
Lab name
Tattnall Hospital Company
Additional name
D/B/A Optim Medical Center - Tattnall
Address
16915 Highway 67 South, Suite A, Statesboro, GA 30458
Phone
(912) 225-6499
Fax
(844) 570-7707

Annual test volume the lab reported

Waived tests
1,200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Statesboro, GA

Related

Questions

What is the CLIA number for Tattnall Hospital Company in Statesboro?

11D2041765, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Tattnall Hospital Company hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2041765 expire?

The CMS file lists May 29, 2028 as the certificate expiration date; the certificate took effect May 30, 2026.

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