CLIA lab

CLIA 11D2305440: Phi Summerville- Professional Center

Augusta, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D2305440 belongs to Phi Summerville- Professional Center in Augusta, GA.

Certificate of Waiver, effective May 31, 2026, expires May 30, 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
May 31, 2026
Certificate expiration
May 30, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 31, 2024
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
11D2305440
Lab name
Phi Summerville- Professional Center
Address
2258 Wrightsboro Road, Suite 400, Augusta, GA 30904
Phone
(706) 724-4400
Fax
(706) 724-6003

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 Phi Summerville- Professional Center in Augusta?

11D2305440, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Phi Summerville- Professional Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2305440 expire?

The CMS file lists May 30, 2028 as the certificate expiration date; the certificate took effect May 31, 2026.

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