CLIA lab

CLIA 11D2212615: Ear, Nose, & Throat Clinic of Coffee County, PC

Waycross, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D2212615 belongs to Ear, Nose, & Throat Clinic of Coffee County, PC in Waycross, GA.

Certificate of Waiver, effective February 5, 2025, expires February 4, 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
February 5, 2025
Certificate expiration
February 4, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 5, 2021
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D2212615
Lab name
Ear, Nose, & Throat Clinic of Coffee County, PC
Address
1703 Boulevard Square, Waycross, GA 31501
Phone
(912) 384-2200
Fax
(912) 393-1003

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Waycross, GA

Related

Questions

What is the CLIA number for Ear, Nose, & Throat Clinic of Coffee County, PC in Waycross?

11D2212615, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ear, Nose, & Throat Clinic of Coffee County, PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2212615 expire?

The CMS file lists February 4, 2027 as the certificate expiration date; the certificate took effect February 5, 2025.

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