CLIA lab
CLIA 11D2107683: Clark Medical Group, LLC
Statesboro, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2107683 belongs to Clark Medical Group, LLC in Statesboro, GA.
Certificate of Waiver, effective January 20, 2026, expires January 19, 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 20, 2026
- Certificate expiration
- January 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 20, 2016
- 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
- 11D2107683
- Lab name
- Clark Medical Group, LLC
- Address
- 117 Hill Pond Lane, Statesboro, GA 30458
- Phone
- (912) 623-2155
- Fax
- (912) 623-2156
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 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
- Bethany Assisted Living, IncCertificate of Waiver, Assisted living facility11D2104222
- 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
Related
Questions
What is the CLIA number for Clark Medical Group, LLC in Statesboro?
11D2107683, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Clark Medical Group, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2107683 expire?
The CMS file lists January 19, 2028 as the certificate expiration date; the certificate took effect January 20, 2026.