CLIA lab
CLIA 11D2165818: Southern Family Medicine
Jesup, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2165818 belongs to Southern Family Medicine in Jesup, GA.
Certificate of Waiver, effective May 7, 2025, expires May 6, 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
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
- May 7, 2025
- Certificate expiration
- May 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 7, 2019
- 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
- 11D2165818
- Lab name
- Southern Family Medicine
- Address
- 999 South Macon Street, Jesup, GA 31545
- Phone
- (912) 385-2732
- Fax
- (912) 385-2792
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jesup, GA
- Advanced Health Care CenterCertificate of Waiver, Physician office11D1034001
- Ahmed Elsharkawi, MD, LLCCertificate of Waiver, Physician office11D2288120
- Air Evac EMS Inc, Ae 96Certificate of Waiver, Ambulance11D2015830
- Am SNF LLCCertificate of Waiver, Skilled nursing or nursing facility11D0265382
- At Home Senior Living of JesupCertificate of Waiver, Assisted living facility11D2204955
- Bone & Joint Institute of South Georgia, IncCertificate of Waiver, Physician office11D2029997
- Community Home Care (Div of Wayne Memorial Hosp)Certificate of Waiver, Home health agency11D0265386
- Dipreta Dermatology/Jesup OfficeCertificate of Waiver, Physician office11D2020344
- Diversity Health Center, IncCertificate of Waiver, Federally qualified health center11D2177001
- ER Ellament Group, LLCCertificate of Waiver, Physician office11D2255330
Related
Questions
What is the CLIA number for Southern Family Medicine in Jesup?
11D2165818, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2165818 expire?
The CMS file lists May 6, 2027 as the certificate expiration date; the certificate took effect May 7, 2025.