CLIA lab
CLIA 11D2284062: Interstate Health Systems Inc
Port Wentworth, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2284062 belongs to Interstate Health Systems Inc in Port Wentworth, GA.
Certificate of Waiver, effective June 16, 2025, expires June 15, 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
- June 16, 2025
- Certificate expiration
- June 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 16, 2023
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2284062
- Lab name
- Interstate Health Systems Inc
- Address
- 5712 Highway 21, Suite 300, Port Wentworth, GA 31407
- Phone
- (931) 526-1604
- Fax
- (931) 526-7378
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Port Wentworth, GA
- Effingham Hospital IncCertificate for Provider-Performed Microscopy Procedures, Rural health clinic11D1105704
- ExpercareCertificate of Waiver, Physician office11D2345395
- Front Porch Recovery CenterCertificate of Waiver, Other11D2311026
- GCF US Holding LLCCertificate of Waiver, Industrial11D2284474
- Georgia CVS Pharmacy, LLCCertificate of Waiver, Pharmacy11D2282479
- Meyty Mobile Labs, LLCCertificate of Waiver, Mobile lab11D2288090
- Port Wentworth Fire DepartmentCertificate of Waiver, Other11D2261507
- Pruitthealth - Seaside, LLCCertificate of Waiver, Skilled nursing or nursing facility11D0264892
Related
Questions
What is the CLIA number for Interstate Health Systems Inc in Port Wentworth?
11D2284062, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Interstate Health Systems Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2284062 expire?
The CMS file lists June 15, 2027 as the certificate expiration date; the certificate took effect June 16, 2025.