CLIA lab
CLIA 11D2057950: Mark Spivey Orthopedic Clinic
Vidalia, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2057950 belongs to Mark Spivey Orthopedic Clinic in Vidalia, GA.
Certificate of Waiver, effective December 20, 2024, expires December 19, 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
- December 20, 2024
- Certificate expiration
- December 19, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 26, 2013
- 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
- 11D2057950
- Lab name
- Mark Spivey Orthopedic Clinic
- Address
- 3301 East First Street, Suite A, Vidalia, GA 30474
- Phone
- (912) 537-4411
- Fax
- (912) 538-8485
Annual test volume the lab reported
- Waived tests
- 200
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 Mark Spivey Orthopedic Clinic in Vidalia?
11D2057950, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mark Spivey Orthopedic Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2057950 expire?
The CMS file lists December 19, 2026 as the certificate expiration date; the certificate took effect December 20, 2024.