CLIA lab
CLIA 11D2174475: Onsite Medical Clinic at Frito Lay - Perry
Kathleen, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2174475 belongs to Onsite Medical Clinic at Frito Lay - Perry in Kathleen, GA.
Certificate of Waiver, effective November 1, 2025, expires October 31, 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
- November 1, 2025
- Certificate expiration
- October 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 1, 2019
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2174475
- Lab name
- Onsite Medical Clinic at Frito Lay - Perry
- Address
- 1200 Highway 247 South, Kathleen, GA 31047
- Phone
- (478) 987-6144
- Fax
- (856) 324-9095
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Kathleen, GA
- Atrium Hlth Navicent Primary Care Family MedicineCertificate of Waiver, Physician office11D2326002
- Connect EMS Transport Services, LLCCertificate of Waiver, Health fair11D2331015
- Lake Joy Med-StopCertificate of Compliance, Other11D1057794
- Pediatric Convenient CareCertificate of Waiver, Federally qualified health center11D2226422
- Perry VA ClinicCertificate of Accreditation, Ambulatory surgery center11D1091011
- Weighless MD and WellnessCertificate of Waiver, Independent11D2345686
Related
Questions
What is the CLIA number for Onsite Medical Clinic at Frito Lay - Perry in Kathleen?
11D2174475, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Onsite Medical Clinic at Frito Lay - Perry hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2174475 expire?
The CMS file lists October 31, 2027 as the certificate expiration date; the certificate took effect November 1, 2025.