CLIA lab
CLIA 11D2244524: Montgomery State Prison
Mount Vernon, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2244524 belongs to Montgomery State Prison in Mount Vernon, GA.
Certificate of Waiver, effective December 2, 2025, expires December 1, 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
- December 2, 2025
- Certificate expiration
- December 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 2, 2021
- Facility type
- Prison
- Ownership (control type)
- Government, state
- 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
- 11D2244524
- Lab name
- Montgomery State Prison
- Address
- 650 Mt Vernon Alston Road, Mount Vernon, GA 30445
- Phone
- (678) 470-3977
Annual test volume the lab reported
- Waived tests
- 50,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mount Vernon, GA
Related
Questions
What is the CLIA number for Montgomery State Prison in Mount Vernon?
11D2244524, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Montgomery State Prison hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2244524 expire?
The CMS file lists December 1, 2027 as the certificate expiration date; the certificate took effect December 2, 2025.