CLIA lab
CLIA 11D2217004: Southern Correctional Medicine
Douglas, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2217004 belongs to Southern Correctional Medicine in Douglas, GA.
Certificate of Waiver, effective March 17, 2025, expires March 16, 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 17, 2025
- Certificate expiration
- March 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 17, 2021
- 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
- 11D2217004
- Lab name
- Southern Correctional Medicine
- Address
- 825 Thompson Drive, Douglas, GA 31535
- Phone
- (912) 283-1359
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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Related
Questions
What is the CLIA number for Southern Correctional Medicine in Douglas?
11D2217004, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Correctional Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2217004 expire?
The CMS file lists March 16, 2027 as the certificate expiration date; the certificate took effect March 17, 2025.