CLIA lab

CLIA 11D2050751: ST Mary's Medical Group, Inc

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

CLIA number 11D2050751 belongs to ST Mary's Medical Group, Inc in Lavonia, GA.

Certificate for Provider-Performed Microscopy Procedures, effective December 5, 2024, expires December 4, 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 for Provider-Performed Microscopy Procedures
Certificate effective
December 5, 2024
Certificate expiration
December 4, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 5, 2012
Facility type
Physician office
Ownership (control type)
Religious affiliation
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
11D2050751
Lab name
ST Mary's Medical Group, Inc
Additional name
D/B/A Clear Creek Obgyn
Address
355 Clear Creek Pkwy Suite 1003, Lavonia, GA 30553
Phone
(706) 356-0780
Fax
(706) 356-0781

Annual test volume the lab reported

Waived tests
1,000
Provider-performed microscopy tests
1,000
Total
2,000

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 ST Mary's Medical Group, Inc in Lavonia?

11D2050751, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does ST Mary's Medical Group, Inc hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 11D2050751 expire?

The CMS file lists December 4, 2026 as the certificate expiration date; the certificate took effect December 5, 2024.

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