CLIA lab
CLIA 11D2064698: Southern Family Medicine of Georgia, LLC
Claxton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2064698 belongs to Southern Family Medicine of Georgia, LLC in Claxton, GA.
Certificate of Waiver, effective August 26, 2025, expires August 25, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 26, 2025
- Certificate expiration
- August 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 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
- 11D2064698
- Lab name
- Southern Family Medicine of Georgia, LLC
- Address
- 308 East Long Street, Claxton, GA 30417
- Phone
- (912) 290-5235
- Fax
- (912) 290-5236
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Claxton, GA
- Bethany Hospice of Coastal Georgia, LLCCertificate of Waiver, Hospice11D1061934
- Blood Gas Lab of Evans Memorial Hospital, IncCertificate of Compliance, Hospital11D0945324
- Camelia Health and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility11D0675480
- East Georgia Healthcare Center IncCertificate of Waiver, Federally qualified health center11D2152569
- Evans County EMSCertificate of Waiver, Other11D0704063
- Evans Memorial HospitalCertificate of Compliance, Hospital11D0260979
- FMC Dialysis Services ClaxtonCertificate of Waiver, End stage renal disease dialysis facility11D0983172
- Kemps Medical ServicesCertificate of Waiver, Pharmacy11D0993068
- Optim Medical Center-Tattnall (Claxton)Certificate of Waiver, Physician office11D2041760
- Premise Health of Georgia Medical, PCCertificate of Waiver, Physician office11D2049704
Related
Questions
What is the CLIA number for Southern Family Medicine of Georgia, LLC in Claxton?
11D2064698, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Family Medicine of Georgia, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2064698 expire?
The CMS file lists August 25, 2027 as the certificate expiration date; the certificate took effect August 26, 2025.