CLIA lab

CLIA 11D2125691: Suwannee River Medical

Homerville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D2125691 belongs to Suwannee River Medical in Homerville, GA.

Certificate of Waiver, effective February 13, 2025, expires February 12, 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 of Waiver
Certificate effective
February 13, 2025
Certificate expiration
February 12, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 13, 2017
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
11D2125691
Lab name
Suwannee River Medical
Address
30 W Forest Ave, Homerville, GA 31634
Phone
(912) 487-1737
Fax
(912) 487-1739

Annual test volume the lab reported

Waived tests
150

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Homerville, GA

Related

Questions

What is the CLIA number for Suwannee River Medical in Homerville?

11D2125691, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Suwannee River Medical hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2125691 expire?

The CMS file lists February 12, 2027 as the certificate expiration date; the certificate took effect February 13, 2025.

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