CLIA lab
CLIA 11D2255653: Southeast Medical Group DBA Medical GRP
Butler, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2255653 belongs to Southeast Medical Group DBA Medical GRP in Butler, GA.
Certificate of Waiver, effective November 1, 2025, expires October 31, 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 1, 2025
- Certificate expiration
- October 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 16, 2022
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 6
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2255653
- Lab name
- Southeast Medical Group DBA Medical GRP
- Additional name
- Of Central Ga
- Address
- 18 S Broad Street, Butler, GA 31006
- Phone
- (478) 837-7121
- Fax
- (770) 663-8905
Annual test volume the lab reported
- Waived tests
- 80,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Butler, GA
Related
Questions
What is the CLIA number for Southeast Medical Group DBA Medical GRP in Butler?
11D2255653, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southeast Medical Group DBA Medical GRP hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2255653 expire?
The CMS file lists October 31, 2027 as the certificate expiration date; the certificate took effect November 1, 2025.