CLIA lab
CLIA 11D2193048: Memorial Manor
Bainbridge, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2193048 belongs to Memorial Manor in Bainbridge, GA.
Certificate of Waiver, effective September 17, 2026, expires September 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
- September 17, 2026
- Certificate expiration
- September 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 17, 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
- 11D2193048
- Lab name
- Memorial Manor
- Address
- 1500 East Shotwell Street, Bainbridge, GA 39819
- Phone
- (229) 243-6111
- Fax
- (229) 243-3323
Annual test volume the lab reported
- Waived tests
- 13,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Memorial Manor Nursing HomeCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Memorial Manor in Bainbridge?
11D2193048, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Memorial Manor hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2193048 expire?
The CMS file lists September 16, 2028 as the certificate expiration date; the certificate took effect September 17, 2026.