CLIA lab
CLIA 11D2279058: Gateway Community Service Board Lakeside C&a Csu
Bloomingdale, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2279058 belongs to Gateway Community Service Board Lakeside C&a Csu in Bloomingdale, GA.
Certificate of Waiver, effective March 29, 2025, expires March 28, 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 29, 2025
- Certificate expiration
- March 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 29, 2023
- Facility type
- Other
- Ownership (control type)
- Government, other
- 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
- 11D2279058
- Lab name
- Gateway Community Service Board Lakeside C&a Csu
- Address
- 600 D O T Barn Road, Bloomingdale, GA 31302
- Phone
- (912) 662-1533
- Fax
- (912) 527-6074
Annual test volume the lab reported
- Waived tests
- 100
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 Gateway Community Service Board Lakeside C&a Csu in Bloomingdale?
11D2279058, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gateway Community Service Board Lakeside C&a Csu hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2279058 expire?
The CMS file lists March 28, 2027 as the certificate expiration date; the certificate took effect March 29, 2025.