CLIA lab
CLIA 11D2147743: Lakeside Senior Living
Douglas, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2147743 belongs to Lakeside Senior Living in Douglas, GA.
Certificate of Waiver, effective April 26, 2026, expires April 25, 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
- April 26, 2026
- Certificate expiration
- April 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 26, 2018
- Facility type
- Assisted living facility
- 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
- 11D2147743
- Lab name
- Lakeside Senior Living
- Address
- 1025 N Chester Ave, Douglas, GA 31533
- Phone
- (912) 501-3373
- Fax
- (912) 292-4129
Annual test volume the lab reported
- Waived tests
- 16
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 Lakeside Senior Living in Douglas?
11D2147743, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lakeside Senior Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2147743 expire?
The CMS file lists April 25, 2028 as the certificate expiration date; the certificate took effect April 26, 2026.