CLIA lab
CLIA 11D2177014: Southern Medicine
Baxley, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2177014 belongs to Southern Medicine in Baxley, GA.
Certificate of Waiver, effective January 2, 2026, expires January 1, 2028.
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
- January 2, 2026
- Certificate expiration
- January 1, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 2, 2020
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2177014
- Lab name
- Southern Medicine
- Address
- 275 North Main Street, Baxley, GA 31513
- Phone
- (407) 403-2228
- Fax
- (912) 525-1926
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 Baxley, GA
- 912 Healthcare, LLCCertificate of Waiver, Physician office11D2351070
- Altamaha Homecare IncorporatedCertificate of Waiver, Home health agency11D0724086
- Appling County Ambulance ServiceCertificate of Waiver, Ambulance11D2199373
- Appling County Board of EducationCertificate of Waiver, School or student health service11D2107538
- Appling Family Total Healthcare, PCCertificate of Waiver, Other practitioner11D2033904
- Appling Healthcare SystemCertificate of Accreditation, Hospital11D0022129
- Appling ItfCertificate of Waiver, Prison11D2237834
- Appling Medical Group- DR O V FernandoCertificate for Provider-Performed Microscopy Procedures, Rural health clinic11D0943174
- Appling Nursing & Rehabilitation PavilionCertificate of Waiver, Skilled nursing or nursing facility11D2191866
- Appling PediatricsCertificate for Provider-Performed Microscopy Procedures, Physician office11D0976294
Related
Questions
What is the CLIA number for Southern Medicine in Baxley?
11D2177014, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2177014 expire?
The CMS file lists January 1, 2028 as the certificate expiration date; the certificate took effect January 2, 2026.