CLIA lab
CLIA 11D2285173: Bulloch Family Practice LLC
Statesboro, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2285173 belongs to Bulloch Family Practice LLC in Statesboro, GA.
Certificate of Waiver, effective July 7, 2025, expires July 6, 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
- July 7, 2025
- Certificate expiration
- July 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 7, 2023
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2285173
- Lab name
- Bulloch Family Practice LLC
- Address
- 112 Hill Pond Lane, Statesboro, GA 30458
- Phone
- (912) 237-9228
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Statesboro, GA
- Advanced Heart & Vascular InstituteCertificate of Compliance, Physician office11D2215260
- Air Evac EMS Inc, Ae 95Certificate of Waiver, Ambulance11D2015829
- American Oncology Partners, P ACertificate of Accreditation, Physician office11D2245841
- Atekha Nephrology ClinicCertificate of Waiver, Physician office11D1099648
- Augusta ENT PCCertificate of Waiver, Physician office11D2324641
- BPC Plasma, IncCertificate of Accreditation, Other11D2229107
- Bethany Assisted Living, IncCertificate of Waiver, Assisted living facility11D2104222
- Bio-Medical Applications of GeorgiaCertificate of Waiver, End stage renal disease dialysis facility11D1047867
- Biomat Holdings, LLC DBA Freedom PlasmaCertificate of Accreditation, Other11D2236744
- Brigss & Stratton Health and Wellness CenterCertificate of Waiver, Other11D2185504
Related
Questions
What is the CLIA number for Bulloch Family Practice LLC in Statesboro?
11D2285173, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bulloch Family Practice LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2285173 expire?
The CMS file lists July 6, 2027 as the certificate expiration date; the certificate took effect July 7, 2025.