CLIA lab
CLIA 11D2063639: Tattnall Hospital Company, LLC
Hinesville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2063639 belongs to Tattnall Hospital Company, LLC in Hinesville, GA.
Certificate of Waiver, effective August 7, 2025, expires August 6, 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
- August 7, 2025
- Certificate expiration
- August 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 7, 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
- 11D2063639
- Lab name
- Tattnall Hospital Company, LLC
- Additional name
- DBA Optim Medical Center Tattnall
- Address
- 790 Veterans Pkwy, Suite 111, Hinesville, GA 31313
- Phone
- (912) 644-1626
- Fax
- (912) 644-3369
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- DR Eric L HallCertificate of Waiver, Physician office11D0983164
- Diversity Health Center, IncCertificate of Waiver, Physician office11D1070143
- Diversity Health Center, IncCertificate of Waiver, Federally qualified health center11D2115874
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Related
Questions
What is the CLIA number for Tattnall Hospital Company, LLC in Hinesville?
11D2063639, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tattnall Hospital Company, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2063639 expire?
The CMS file lists August 6, 2027 as the certificate expiration date; the certificate took effect August 7, 2025.