CLIA lab
CLIA 11D2119489: Optim Primary Care - Glennville
Glennville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2119489 belongs to Optim Primary Care - Glennville in Glennville, GA.
Certificate for Provider-Performed Microscopy Procedures, effective September 28, 2024, expiration date September 27, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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 28, 2024
- Certificate expiration
- September 27, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 28, 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
- 11D2119489
- Lab name
- Optim Primary Care - Glennville
- Address
- 1000 B North Veterans Blvd, Glennville, GA 30427
- Phone
- (912) 654-4599
- Fax
- (912) 654-4648
Annual test volume the lab reported
- Provider-performed microscopy tests
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Smg-Rotary Health and Wellness CenterCertificate of Waiver, Other11D2320552
- Smith State PrisonCertificate of Waiver, Prison11D2246550
- Tattnal Hospital CompanyCertificate of Waiver, Rural health clinic11D1095526
- Thompson Medical Associates, LLCCertificate of Waiver, Physician office11D2336131
- Walgreens #18185Certificate of Waiver, Pharmacy11D2217420
Related
Questions
What is the CLIA number for Optim Primary Care - Glennville in Glennville?
11D2119489, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Optim Primary Care - Glennville hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D2119489 expire?
The CMS file lists September 27, 2026 as the certificate expiration date; the certificate took effect September 28, 2024.