CLIA lab

CLIA 11D2054635: Statesboro Primary Care Telehealth Opc

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

CLIA number 11D2054635 belongs to Statesboro Primary Care Telehealth Opc in Statesboro, GA.

Certificate of Accreditation, effective February 25, 2013, expires May 22, 2032.

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 Accreditation
Certificate effective
February 25, 2013
Certificate expiration
May 22, 2032
Status in the CMS file
Active (termination code 00)
Original participation date
February 25, 2013
Facility type
Community clinic
Ownership (control type)
Government, federal
Lab classification
CLIA VA laboratory
Accrediting organizations
The Joint Commission
Directly affiliated labs
4

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D2054635
Lab name
Statesboro Primary Care Telehealth Opc
Address
658 Northside Drive East, Statesboro, GA 30458
Phone
(202) 632-8424

Annual test volume the lab reported

Waived tests
1,090
Tests under accreditation
1,090
Total
2,180

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

Affiliated CLIA numbers

Other labs in Statesboro, GA

Related

Questions

What is the CLIA number for Statesboro Primary Care Telehealth Opc in Statesboro?

11D2054635, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Statesboro Primary Care Telehealth Opc hold?

A Certificate of Accreditation, according to the CMS file.

When does CLIA 11D2054635 expire?

The CMS file lists May 22, 2032 as the certificate expiration date; the certificate took effect February 25, 2013.

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