CLIA lab
CLIA 11D2118853: Henderson Family Practice
Waycross, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2118853 belongs to Henderson Family Practice in Waycross, GA.
Certificate for Provider-Performed Microscopy Procedures, effective September 15, 2026, expires September 14, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 15, 2026
- Certificate expiration
- September 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 15, 2016
- Facility type
- Other practitioner
- 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
- 11D2118853
- Lab name
- Henderson Family Practice
- Address
- 624 Tebeau Street, Waycross, GA 31501
- Phone
- (912) 809-6052
- Fax
- (912) 809-6070
Annual test volume the lab reported
- Waived tests
- 1,000
- Provider-performed microscopy tests
- 500
- Total
- 1,500
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 office11D2250040
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Related
Questions
What is the CLIA number for Henderson Family Practice in Waycross?
11D2118853, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Henderson Family Practice hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D2118853 expire?
The CMS file lists September 14, 2028 as the certificate expiration date; the certificate took effect September 15, 2026.