CLIA lab
CLIA 11D2102732: Memorial Health-Provident Womens Specialists
Pooler, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2102732 belongs to Memorial Health-Provident Womens Specialists in Pooler, GA.
Certificate of Waiver, effective October 31, 2025, expires October 30, 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
- October 31, 2025
- Certificate expiration
- October 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 28, 2015
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2102732
- Lab name
- Memorial Health-Provident Womens Specialists
- Additional name
- Pooler
- Address
- 500 Mosaic Circle, Suite 320, Pooler, GA 31322
- Phone
- (912) 350-5937
- Fax
- (912) 273-6000
Annual test volume the lab reported
- Waived tests
- 497
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Pooler, GA
- Affinis HospiceCertificate of Waiver, Hospice11D2102550
- American Oncology Partners, PACertificate of Waiver, Physician office11D2335457
- Braun Internal Medicine PCCertificate of Waiver, Physician office11D1078163
- Caresouth HHA Holdings of South Carolina, LLCCertificate of Waiver, Home health agency11D1063241
- Centurion Spine and PainCertificate of Waiver, Physician office11D2258480
- Coastal Community Health - PoolerCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center11D2302095
- Coastal PediatricsCertificate of Accreditation, Physician office11D2168149
- Compassionate Care Hospice of Savannah, LLCCertificate of Waiver, Hospice11D1093965
- Family Medicine of Pooler, LLCCertificate of Waiver, Physician office11D2014321
- Five Points Healthcare of Ga, LLCCertificate of Waiver, Home health agency11D0913741
Related
Questions
What is the CLIA number for Memorial Health-Provident Womens Specialists in Pooler?
11D2102732, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Memorial Health-Provident Womens Specialists hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2102732 expire?
The CMS file lists October 30, 2027 as the certificate expiration date; the certificate took effect October 31, 2025.