CLIA lab
CLIA 11D2200482: Southern Correctional Medicine, LLC
Ashburn, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2200482 belongs to Southern Correctional Medicine, LLC in Ashburn, GA.
Certificate of Waiver, effective November 16, 2024, expires November 15, 2026.
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
- November 16, 2024
- Certificate expiration
- November 15, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 16, 2020
- Facility type
- Other
- Ownership (control type)
- Proprietary
- 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
- 11D2200482
- Lab name
- Southern Correctional Medicine, LLC
- Address
- 1301 Industrial Drive, Ashburn, GA 31714
- Phone
- (912) 283-5260
- Fax
- (912) 490-2867
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Careconnect Family Practice and PediatricsCertificate of Waiver, Federally qualified health center11D2126201
- Crisp Family Medicine - AshburnCertificate of Waiver, Physician office11D2227465
- Pruitthealth - Ashburn, LLCCertificate of Waiver, Skilled nursing or nursing facility11D0646151
- Raines Pharmacy, IncCertificate of Waiver, Pharmacy11D2188956
- Southwell Medical Ashburn Primary CareCertificate of Waiver, Rural health clinic11D0912925
- Turner County Emergency Medical ServicesCertificate of Waiver, Ambulance11D2199377
Related
Questions
What is the CLIA number for Southern Correctional Medicine, LLC in Ashburn?
11D2200482, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Correctional Medicine, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2200482 expire?
The CMS file lists November 15, 2026 as the certificate expiration date; the certificate took effect November 16, 2024.