CLIA lab
CLIA 11D2211080: Camellia Walk
Evans, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2211080 belongs to Camellia Walk in Evans, GA.
Certificate of Waiver, effective January 26, 2025, expires January 25, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 26, 2025
- Certificate expiration
- January 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 26, 2021
- Facility type
- Assisted living facility
- 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
- 11D2211080
- Lab name
- Camellia Walk
- Address
- 3949 Evans To Locks Road, Evans, GA 30809
- Phone
- (706) 922-9762
- Fax
- (706) 922-6317
Annual test volume the lab reported
- Waived tests
- 6,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Augusta Obstetrics and Gynecology Specialists LLCCertificate for Provider-Performed Microscopy Procedures, Physician office11D1070187
- Augusta Urology Associates LLCCertificate of Compliance, Physician office11D0938125
- Bio Medical Applications of Georgia IncorporateCertificate of Waiver, End stage renal disease dialysis facility11D1073395
- Brandon Wilde LLCCertificate of Waiver, Skilled nursing or nursing facility11D0938739
Related
Questions
What is the CLIA number for Camellia Walk in Evans?
11D2211080, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Camellia Walk hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2211080 expire?
The CMS file lists January 25, 2027 as the certificate expiration date; the certificate took effect January 26, 2025.