CLIA lab
CLIA 11D2139253: CRH Mobile Clinic
Douglas, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2139253 belongs to CRH Mobile Clinic in Douglas, GA.
Certificate of Waiver, effective November 1, 2025, expires October 31, 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
- November 1, 2025
- Certificate expiration
- October 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 1, 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
- 11D2139253
- Lab name
- CRH Mobile Clinic
- Address
- 1100 West Ward Street Ext, Douglas, GA 31533
- Phone
- (912) 384-1477
- Fax
- (912) 384-1470
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for CRH Mobile Clinic in Douglas?
11D2139253, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does CRH Mobile Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2139253 expire?
The CMS file lists October 31, 2027 as the certificate expiration date; the certificate took effect November 1, 2025.