CLIA lab
CLIA 11D2071361: West Georgia Urology Associates, PC
Bremen, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2071361 belongs to West Georgia Urology Associates, PC in Bremen, GA.
Certificate for Provider-Performed Microscopy Procedures, effective January 10, 2026, expires January 9, 2028.
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 for Provider-Performed Microscopy Procedures
- Certificate effective
- January 10, 2026
- Certificate expiration
- January 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 10, 2014
- 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
- 11D2071361
- Lab name
- West Georgia Urology Associates, PC
- Address
- 204 Allen Memorial Drive, Suite 302-B, Bremen, GA 30110
- Phone
- (770) 834-6988
- Fax
- (770) 834-1090
Annual test volume the lab reported
- Waived tests
- 250
- Provider-performed microscopy tests
- 250
- Total
- 500
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 West Georgia Urology Associates, PC in Bremen?
11D2071361, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does West Georgia Urology Associates, PC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D2071361 expire?
The CMS file lists January 9, 2028 as the certificate expiration date; the certificate took effect January 10, 2026.