CLIA lab
CLIA 11D2178617: Careconnect Family Practice
Roberta, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2178617 belongs to Careconnect Family Practice in Roberta, GA.
Certificate of Waiver, effective February 6, 2026, expires February 5, 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
- February 6, 2026
- Certificate expiration
- February 5, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 6, 2020
- Facility type
- Federally qualified health center
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 8
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2178617
- Lab name
- Careconnect Family Practice
- Address
- 254 Wright Avenue, Roberta, GA 31078
- Phone
- (229) 384-5576
- Fax
- (229) 384-5527
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Roberta, GA
Related
Questions
What is the CLIA number for Careconnect Family Practice in Roberta?
11D2178617, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Careconnect Family Practice hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2178617 expire?
The CMS file lists February 5, 2028 as the certificate expiration date; the certificate took effect February 6, 2026.