CLIA lab
CLIA 11D2071464: Primary Care Internal Medicine in Evans, PC
Evans, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2071464 belongs to Primary Care Internal Medicine in Evans, PC in Evans, GA.
Certificate of Waiver, effective January 13, 2026, expires January 12, 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 of Waiver
- Certificate effective
- January 13, 2026
- Certificate expiration
- January 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 13, 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
- 11D2071464
- Lab name
- Primary Care Internal Medicine in Evans, PC
- Address
- 465 N Belair Rd, Ste 3E, Evans, GA 30809
- Phone
- (706) 364-4775
- Fax
- (706) 364-6992
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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- Augusta Urology Associates LLCCertificate of Compliance, Physician office11D0938125
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- Brandon Wilde LLCCertificate of Waiver, Skilled nursing or nursing facility11D0938739
Related
Questions
What is the CLIA number for Primary Care Internal Medicine in Evans, PC in Evans?
11D2071464, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Primary Care Internal Medicine in Evans, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2071464 expire?
The CMS file lists January 12, 2028 as the certificate expiration date; the certificate took effect January 13, 2026.