CLIA lab

CLIA 11D2045332: Good Samaritan Primary Care

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

CLIA number 11D2045332 belongs to Good Samaritan Primary Care in Greensboro, GA.

Certificate of Waiver, effective August 10, 2026, expires August 9, 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
August 10, 2026
Certificate expiration
August 9, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 10, 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
11D2045332
Lab name
Good Samaritan Primary Care
Address
1110 Commerce Dr Ste 108, Greensboro, GA 30642
Phone
(706) 999-0243
Fax
(706) 999-0245

Annual test volume the lab reported

Waived tests
1,300

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 Good Samaritan Primary Care in Greensboro?

11D2045332, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Good Samaritan Primary Care hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2045332 expire?

The CMS file lists August 9, 2028 as the certificate expiration date; the certificate took effect August 10, 2026.

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