CLIA lab
CLIA 11D2104222: Bethany Assisted Living, Inc
Statesboro, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2104222 belongs to Bethany Assisted Living, Inc in Statesboro, GA.
Certificate of Waiver, effective October 30, 2025, expires October 29, 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
- October 30, 2025
- Certificate expiration
- October 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 30, 2015
- Facility type
- Assisted living facility
- Ownership (control type)
- Religious affiliation
- 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
- 11D2104222
- Lab name
- Bethany Assisted Living, Inc
- Additional name
- D/B/A the Lodge at Bethany
- Address
- 77 Bethany Way, Statesboro, GA 30458
- Phone
- (912) 764-7960
- Fax
- (912) 764-7896
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Statesboro, GA
- Advanced Heart & Vascular InstituteCertificate of Compliance, Physician office11D2215260
- Air Evac EMS Inc, Ae 95Certificate of Waiver, Ambulance11D2015829
- American Oncology Partners, P ACertificate of Accreditation, Physician office11D2245841
- Atekha Nephrology ClinicCertificate of Waiver, Physician office11D1099648
- Augusta ENT PCCertificate of Waiver, Physician office11D2324641
- BPC Plasma, IncCertificate of Accreditation, Other11D2229107
- Bio-Medical Applications of GeorgiaCertificate of Waiver, End stage renal disease dialysis facility11D1047867
- Biomat Holdings, LLC DBA Freedom PlasmaCertificate of Accreditation, Other11D2236744
- Brigss & Stratton Health and Wellness CenterCertificate of Waiver, Other11D2185504
- Bulloch County Board of EducationCertificate of Waiver, School or student health service11D2267735
Related
Questions
What is the CLIA number for Bethany Assisted Living, Inc in Statesboro?
11D2104222, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bethany Assisted Living, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2104222 expire?
The CMS file lists October 29, 2027 as the certificate expiration date; the certificate took effect October 30, 2025.