CLIA lab
CLIA 11D2159236: ST Mary's Family Medicine
Bogart, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2159236 belongs to ST Mary's Family Medicine in Bogart, GA.
Certificate of Waiver, effective December 14, 2024, expires December 13, 2026.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 14, 2024
- Certificate expiration
- December 13, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 14, 2018
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 11D2159236
- Lab name
- ST Mary's Family Medicine
- Address
- 2421 Malcom Bridge Road, Suite 420, Bogart, GA 30622
- Phone
- (706) 389-3880
- Fax
- (706) 389-3881
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Bogart, GA
- Caregap Medfast ClinicCertificate of Waiver, Physician office11D2346925
- Creative Hospice Care, IncorporatedCertificate of Waiver, Hospice11D2025314
- Halifax EMS, LLCCertificate of Waiver, Ambulance11D2260951
- Northside Bogart Primry CareCertificate of Waiver, Physician office11D0669789
- ST Mary's Center for Wound HealingCertificate of Waiver, Other11D2050148
- The Landing of BogartCertificate of Waiver, Other11D2195021
Related
Questions
What is the CLIA number for ST Mary's Family Medicine in Bogart?
11D2159236, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Mary's Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2159236 expire?
The CMS file lists December 13, 2026 as the certificate expiration date; the certificate took effect December 14, 2024.