CLIA lab
CLIA 11D2199857: Southeastern Urogynecology and Pelvic Surgery, LLC
Moultrie, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2199857 belongs to Southeastern Urogynecology and Pelvic Surgery, LLC in Moultrie, GA.
Certificate of Accreditation, effective November 3, 2025, expires November 2, 2027.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Accreditation
- Certificate effective
- November 3, 2025
- Certificate expiration
- November 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 12, 2020
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Accrediting organizations
- COLA
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2199857
- Lab name
- Southeastern Urogynecology and Pelvic Surgery, LLC
- Address
- 115 31st Avenue Southeast, Moultrie, GA 31768
- Phone
- (229) 502-9788
- Fax
- (229) 890-2166
Annual test volume the lab reported
- Tests under accreditation
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Moultrie, GA
- Betty V Koukism MDCertificate of Waiver, Physician office11D2149464
- Careconnect PediatricsCertificate of Waiver, Federally qualified health center11D2153051
- Careconnect Urgent CareCertificate of Waiver, Federally qualified health center11D2101706
- Ccsg IncCertificate of Waiver, Physician office11D2224496
- Chancy Drugs MoultireCertificate of Waiver, Pharmacy11D2184893
- Colquit Regional Diaylsis HomeCertificate of Waiver, End stage renal disease dialysis facility11D2329957
- Colquitt Co Board of EducationCertificate of Waiver, School or student health service11D2135673
- Colquitt County EMSCertificate of Waiver, Ambulance11D2199858
- Colquitt County JailCertificate of Waiver, Prison11D2292378
- Colquitt Regional Community ParamedicineCertificate of Waiver, Other11D2277986
Related
Questions
What is the CLIA number for Southeastern Urogynecology and Pelvic Surgery, LLC in Moultrie?
11D2199857, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southeastern Urogynecology and Pelvic Surgery, LLC hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 11D2199857 expire?
The CMS file lists November 2, 2027 as the certificate expiration date; the certificate took effect November 3, 2025.