CLIA lab

CLIA 11D2066414: Hephzibah Dialysis Clinic, LLC

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

CLIA number 11D2066414 belongs to Hephzibah Dialysis Clinic, LLC in Hephzibah, GA.

Certificate of Waiver, effective September 26, 2025, expires September 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

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
September 26, 2025
Certificate expiration
September 25, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 26, 2013
Facility type
End stage renal disease dialysis facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

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

Lab and contact

CLIA number
11D2066414
Lab name
Hephzibah Dialysis Clinic, LLC
Address
2516 Tobacco Road, Hephzibah, GA 30815
Phone
(706) 790-9314
Fax
(706) 790-9315

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.

Care facility at this address

Affiliated CLIA numbers

Other labs in Hephzibah, GA

Related

Questions

What is the CLIA number for Hephzibah Dialysis Clinic, LLC in Hephzibah?

11D2066414, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Hephzibah Dialysis Clinic, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2066414 expire?

The CMS file lists September 25, 2027 as the certificate expiration date; the certificate took effect September 26, 2025.

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