CLIA lab
CLIA 11D2049704: Premise Health of Georgia Medical, PC
Claxton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2049704 belongs to Premise Health of Georgia Medical, PC in Claxton, GA.
Certificate of Waiver, effective November 13, 2024, expires November 12, 2026.
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
- November 13, 2024
- Certificate expiration
- November 12, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 13, 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
- 11D2049704
- Lab name
- Premise Health of Georgia Medical, PC
- Address
- 8816 US Highway 301, Claxton, GA 30417
- Phone
- (912) 739-3019
- Fax
- (912) 739-1753
Annual test volume the lab reported
- Waived tests
- 1,025
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Claxton, GA
- Bethany Hospice of Coastal Georgia, LLCCertificate of Waiver, Hospice11D1061934
- Blood Gas Lab of Evans Memorial Hospital, IncCertificate of Compliance, Hospital11D0945324
- Camelia Health and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility11D0675480
- East Georgia Healthcare Center IncCertificate of Waiver, Federally qualified health center11D2152569
- Evans County EMSCertificate of Waiver, Other11D0704063
- Evans Memorial HospitalCertificate of Compliance, Hospital11D0260979
- FMC Dialysis Services ClaxtonCertificate of Waiver, End stage renal disease dialysis facility11D0983172
- Kemps Medical ServicesCertificate of Waiver, Pharmacy11D0993068
- Optim Medical Center-Tattnall (Claxton)Certificate of Waiver, Physician office11D2041760
- Smith Treatment CenterCertificate of Waiver, Prison11D2274006
Related
Questions
What is the CLIA number for Premise Health of Georgia Medical, PC in Claxton?
11D2049704, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Georgia Medical, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2049704 expire?
The CMS file lists November 12, 2026 as the certificate expiration date; the certificate took effect November 13, 2024.