CLIA lab
CLIA 11D2266575: Providence Ob/Gyn, LLC
Dublin, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2266575 belongs to Providence Ob/Gyn, LLC in Dublin, GA.
Certificate of Waiver, effective August 12, 2026, expires August 11, 2028.
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
- August 12, 2026
- Certificate expiration
- August 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 12, 2022
- 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
- 11D2266575
- Lab name
- Providence Ob/Gyn, LLC
- Address
- 206 Fairview Park Drive, Dublin, GA 31021
- Phone
- (478) 246-4304
- Fax
- (478) 246-4282
Annual test volume the lab reported
- Waived tests
- 2,000
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 Providence Ob/Gyn, LLC in Dublin?
11D2266575, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Ob/Gyn, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2266575 expire?
The CMS file lists August 11, 2028 as the certificate expiration date; the certificate took effect August 12, 2026.