CLIA lab
CLIA 11D2043182: Southwell Pediatrics
Ocilla, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2043182 belongs to Southwell Pediatrics in Ocilla, GA.
Certificate of Waiver, effective June 28, 2026, expires June 27, 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
- June 28, 2026
- Certificate expiration
- June 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 28, 2012
- 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
- 11D2043182
- Lab name
- Southwell Pediatrics
- Address
- 501 North Irwin Avenue, Suite A, Ocilla, GA 31774
- Phone
- (229) 353-6121
- Fax
- (229) 353-6192
Annual test volume the lab reported
- Waived tests
- 3,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Ocilla, GA
- Asf Medical Center IncorporatedCertificate of Waiver, Physician office11D1104842
- Irwin County Board of EducationCertificate of Waiver, School or student health service11D2144839
- Irwin County Detention CenterCertificate of Waiver, Prison11D2190390
- Irwin County Fire RescueCertificate of Waiver, Ambulance11D2275710
- Irwin County HospitalCertificate of Accreditation, Hospital11D0022416
- Irwin County School Based Health CenterCertificate of Waiver, Federally qualified health center11D2266001
- Irwin Family MedicineCertificate of Waiver, Physician office11D2224898
- Irwin Urgent CareCertificate of Waiver, Independent11D2321849
- Palemon Gaskins Nursing HomeCertificate of Waiver, Skilled nursing or nursing facility11D0856140
- Pruittheath - Ocilla, LLCCertificate of Waiver, Skilled nursing or nursing facility11D0677295
Related
Questions
What is the CLIA number for Southwell Pediatrics in Ocilla?
11D2043182, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southwell Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2043182 expire?
The CMS file lists June 27, 2028 as the certificate expiration date; the certificate took effect June 28, 2026.