CLIA lab
CLIA 11D2191979: Mitchell Convalescent Center
Camilla, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2191979 belongs to Mitchell Convalescent Center in Camilla, GA.
Certificate of Waiver, effective September 3, 2026, expires September 2, 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
- September 3, 2026
- Certificate expiration
- September 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 3, 2020
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Private
- 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
- 11D2191979
- Lab name
- Mitchell Convalescent Center
- Address
- 37 S Ellis Street, Camilla, GA 31730
- Phone
- (229) 336-4721
- Fax
- (229) 336-4693
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Archbold Living CamillaCMS Care Compare ratings for the facility at the same street address
Other labs in Camilla, GA
- Benjamin Screening ServicesCertificate of Waiver, Mobile lab11D2322861
- Camilla DialysisCertificate of Waiver, End stage renal disease dialysis facility11D0646167
- Camilla Medical ClinicCertificate of Waiver, Physician office11D2188302
- Camilla Pediatric Center, theCertificate of Waiver, Physician office11D0909917
- Keystone Foods LLCCertificate of Waiver, Other11D2178576
- Medical Group of Mitchell CountyCertificate for Provider-Performed Microscopy Procedures, Physician office11D1056726
- Mitchell County Hospital LaboratoryCertificate of Accreditation, Hospital11D0266044
- Mitchell County Pediatrics & Health CenterCertificate of Waiver, Physician office11D2259361
- Mitchell County School Based Health CenterCertificate of Waiver, Federally qualified health center11D2231772
- Phoebe Primary Care of CarmillaCertificate of Waiver, Physician office11D0266040
Related
Questions
What is the CLIA number for Mitchell Convalescent Center in Camilla?
11D2191979, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mitchell Convalescent Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2191979 expire?
The CMS file lists September 2, 2028 as the certificate expiration date; the certificate took effect September 3, 2026.