CLIA lab
CLIA 11D2115179: Pediatric Urgent Care
Cordele, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2115179 belongs to Pediatric Urgent Care in Cordele, GA.
Certificate of Waiver, effective June 29, 2026, expires June 28, 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
- June 29, 2026
- Certificate expiration
- June 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 29, 2016
- Facility type
- Federally qualified health center
- Ownership (control type)
- Private
- 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
- 11D2115179
- Lab name
- Pediatric Urgent Care
- Address
- 1007 East 16th Ave, Suite A, Cordele, GA 31015
- Phone
- (229) 273-1716
- Fax
- (229) 273-1720
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 4u Healthcare, LLCCertificate of Waiver, Other practitioner11D2326994
- Adams Drug StoreCertificate of Waiver, Pharmacy11D2155675
- American Medical Georgia,llcCertificate of Waiver, Physician office11D2350242
- Andre D Feria, MD, PCCertificate of Waiver, Physician office11D2274187
- Careconnect Family MedicineCertificate of Waiver, Federally qualified health center11D2301133
- Careconnect Family PracticeCertificate of Waiver, Federally qualified health center11D1103402
- Careconnect PediatricsCertificate of Waiver, Federally qualified health center11D2134599
- Careconnect Urgent CareCertificate of Waiver, Federally qualified health center11D1095030
- Caresouth on Affiliate of Crisp Regional HospitalCertificate of Waiver, Home health agency11D0696665
- Cordele Dialysis CenterCertificate of Waiver, Blood bank11D1079625
Related
Questions
What is the CLIA number for Pediatric Urgent Care in Cordele?
11D2115179, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pediatric Urgent Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2115179 expire?
The CMS file lists June 28, 2028 as the certificate expiration date; the certificate took effect June 29, 2026.