CLIA lab
CLIA 11D2170255: Summerville Occupational Nurse Office
Summerville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2170255 belongs to Summerville Occupational Nurse Office in Summerville, GA.
Certificate of Waiver, effective August 7, 2025, expires August 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 7, 2025
- Certificate expiration
- August 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 7, 2019
- Facility type
- Other
- 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
- 11D2170255
- Lab name
- Summerville Occupational Nurse Office
- Address
- 106 John Bankston Drive, Summerville, GA 30747
- Phone
- (480) 868-0646
- Fax
- (833) 985-1244
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Summerville, GA
- Adventhealth Medical Group at SummervilleCertificate of Waiver, Physician office11D2336915
- Atrium Health Floyd Urgent Care SummervilleCertificate for Provider-Performed Microscopy Procedures, Physician office11D0913635
- Chattooga County JailCertificate of Waiver, Other11D1078165
- Chattooga County SchoolsCertificate of Waiver, School or student health service11D2267680
- Floyd Homecare LLCCertificate of Waiver, Home health agency11D1076329
- Fresenius Kidney Care Chattooga CountyCertificate of Waiver, End stage renal disease dialysis facility11D1078767
- Harbin Clinic Summerville Family Practice LabCertificate of Waiver, Physician office11D1019456
- Oakview Health & RehabCertificate of Waiver, Skilled nursing or nursing facility11D0262527
- Primary Healthcare Center SummervilleCertificate of Waiver, Federally qualified health center11D2078048
Related
Questions
What is the CLIA number for Summerville Occupational Nurse Office in Summerville?
11D2170255, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Summerville Occupational Nurse Office hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2170255 expire?
The CMS file lists August 6, 2027 as the certificate expiration date; the certificate took effect August 7, 2025.