CLIA lab
CLIA 11D2104510: Jeff Davis Family Medical Group
Hazlehurst, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2104510 belongs to Jeff Davis Family Medical Group in Hazlehurst, GA.
Certificate for Provider-Performed Microscopy Procedures, effective November 5, 2025, expires November 4, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- November 5, 2025
- Certificate expiration
- November 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 5, 2015
- Facility type
- Rural health clinic
- Ownership (control type)
- Government, county
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2104510
- Lab name
- Jeff Davis Family Medical Group
- Address
- 9 Hester Street, Hazlehurst, GA 31539
- Phone
- (912) 375-0418
- Fax
- (912) 375-5775
Annual test volume the lab reported
- Waived tests
- 1,000
- Provider-performed microscopy tests
- 50
- Total
- 1,050
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Hazlehurst, GA
- Allen Crawford Fnp-PcCertificate of Waiver, Physician office11D2290791
- Burkett Family Practice, LLCCertificate of Waiver, Physician office11D2294782
- Family Healthcare ConnectionsCertificate of Waiver, Rural health clinic11D1040520
- Hazelhurst Court Care and Rehabilitation CenterCertificate of Waiver, Skilled nursing or nursing facility11D0928733
- Hazlehurst PediaticsCertificate of Waiver, Physician office11D2167875
- Jeff Davis County EMSCertificate of Waiver, Ambulance11D0861750
- Jeff Davis HospitalCertificate of Accreditation, Hospital11D0022183
- Jeff Davis Hospital EMSCertificate of Waiver, Ambulance11D2317684
- Jeff Davis Urgent CareCertificate of Waiver, Physician office11D2082878
- Jeff Davis Wound Care CenterCertificate of Waiver, Other11D2144681
Related
Questions
What is the CLIA number for Jeff Davis Family Medical Group in Hazlehurst?
11D2104510, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jeff Davis Family Medical Group hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D2104510 expire?
The CMS file lists November 4, 2027 as the certificate expiration date; the certificate took effect November 5, 2025.