CLIA lab
CLIA 11D2182242: Sgmc Family Medicine-Lake Park
Lake Park, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2182242 belongs to Sgmc Family Medicine-Lake Park in Lake Park, GA.
Certificate of Waiver, effective April 17, 2026, expires April 16, 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
- April 17, 2026
- Certificate expiration
- April 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 17, 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
- 11D2182242
- Lab name
- Sgmc Family Medicine-Lake Park
- Address
- 241 Lakes Boulevard, Lake Park, GA 31636
- Phone
- (229) 375-5449
- Fax
- (229) 559-0464
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Lake Park, GA
Related
Questions
What is the CLIA number for Sgmc Family Medicine-Lake Park in Lake Park?
11D2182242, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sgmc Family Medicine-Lake Park hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2182242 expire?
The CMS file lists April 16, 2028 as the certificate expiration date; the certificate took effect April 17, 2026.