CLIA lab

CLIA 11D2216589: Classic Direct Primary Care

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

CLIA number 11D2216589 belongs to Classic Direct Primary Care in Watkinsville, GA.

Certificate of Waiver, effective March 15, 2025, expires March 14, 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
March 15, 2025
Certificate expiration
March 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 15, 2021
Facility type
Physician office
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
11D2216589
Lab name
Classic Direct Primary Care
Address
1800 Hog Mountain Road, Bldg 1000, Suite 101, Watkinsville, GA 30677
Phone
(706) 705-6465
Fax
(706) 471-1919

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.

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Related

Questions

What is the CLIA number for Classic Direct Primary Care in Watkinsville?

11D2216589, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Classic Direct Primary Care hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2216589 expire?

The CMS file lists March 14, 2027 as the certificate expiration date; the certificate took effect March 15, 2025.

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