CLIA lab
CLIA 11D2243165: Legacy Hospice Ga LLC
Hazlehurst, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2243165 belongs to Legacy Hospice Ga LLC in Hazlehurst, GA.
Certificate of Waiver, effective November 17, 2025, expires November 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
- November 17, 2025
- Certificate expiration
- November 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 17, 2021
- Facility type
- Hospice
- 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
- 11D2243165
- Lab name
- Legacy Hospice Ga LLC
- Additional name
- DBA Coastal Hospice of Georgia
- Address
- 205 South Tallahassee Street, Hazlehurst, GA 31539
- Phone
- (912) 388-3376
- Fax
- (912) 559-5705
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Hazlehurst, GA
- Allen Crawford Fnp-PcCertificate of Waiver, Physician office11D2290791
- Burkett Family Practice, LLCCertificate of Waiver, Physician office11D2294782
- Family Healthcare ConnectionsCertificate of Waiver, Rural health clinic11D1040520
- Hazelhurst Court Care and Rehabilitation CenterCertificate of Waiver, Skilled nursing or nursing facility11D0928733
- Hazlehurst PediaticsCertificate of Waiver, Physician office11D2167875
- Jeff Davis County EMSCertificate of Waiver, Ambulance11D0861750
- Jeff Davis Family Medical GroupCertificate for Provider-Performed Microscopy Procedures, Rural health clinic11D2104510
- Jeff Davis HospitalCertificate of Accreditation, Hospital11D0022183
- Jeff Davis Hospital EMSCertificate of Waiver, Ambulance11D2317684
- Jeff Davis Urgent CareCertificate of Waiver, Physician office11D2082878
Related
Questions
What is the CLIA number for Legacy Hospice Ga LLC in Hazlehurst?
11D2243165, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Legacy Hospice Ga LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2243165 expire?
The CMS file lists November 16, 2027 as the certificate expiration date; the certificate took effect November 17, 2025.