CLIA lab
CLIA 11D2060225: Providence Family Medicine Clinic, Inc
Lumpkin, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2060225 belongs to Providence Family Medicine Clinic, Inc in Lumpkin, GA.
Certificate of Waiver, effective June 10, 2025, expires June 9, 2027.
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
- June 10, 2025
- Certificate expiration
- June 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 10, 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
- 11D2060225
- Lab name
- Providence Family Medicine Clinic, Inc
- Address
- 1787 Broad Street, Room #9, Lumpkin, GA 31815
- Phone
- (229) 838-4900
- Fax
- (229) 838-4905
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lumpkin, GA
- Stewart County Fire and EMSCertificate of Waiver, Ambulance11D2263470
- Stewart County School BasedCertificate of Waiver, School or student health service11D2329264
- Stewart County School SystemCertificate of Waiver, School or student health service11D2271666
- Stewart Detention Center - CorecivicCertificate of Waiver, Other11D2016459
Related
Questions
What is the CLIA number for Providence Family Medicine Clinic, Inc in Lumpkin?
11D2060225, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Family Medicine Clinic, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2060225 expire?
The CMS file lists June 9, 2027 as the certificate expiration date; the certificate took effect June 10, 2025.