CLIA lab
CLIA 11D2174014: Memorial Health Provident Women's Specialists
Savannah, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2174014 belongs to Memorial Health Provident Women's Specialists in Savannah, GA.
Certificate of Waiver, effective October 25, 2025, expires October 24, 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
- October 25, 2025
- Certificate expiration
- October 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 23, 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
- 11D2174014
- Lab name
- Memorial Health Provident Women's Specialists
- Address
- 4750 Waters Avenue, Suite 311, Savannah, GA 31404
- Phone
- (912) 350-5937
- Fax
- (912) 350-3483
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Amedisys Georgia LLCCertificate of Waiver, Home health agency11D0880265
- American Health Imaging of SavannahCertificate of Waiver, Independent11D2166496
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Related
Questions
What is the CLIA number for Memorial Health Provident Women's Specialists in Savannah?
11D2174014, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Memorial Health Provident Women's Specialists hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2174014 expire?
The CMS file lists October 24, 2027 as the certificate expiration date; the certificate took effect October 25, 2025.