CLIA lab
CLIA 11D2313640: Peachtree Family Medicine
Jesup, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2313640 belongs to Peachtree Family Medicine in Jesup, GA.
Certificate of Waiver, effective November 5, 2024, expires November 4, 2026.
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
- November 5, 2024
- Certificate expiration
- November 4, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 5, 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
- 11D2313640
- Lab name
- Peachtree Family Medicine
- Address
- 330 Peachtree Street, Jesup, GA 31545
- Phone
- (912) 415-8552
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.
Other labs in Jesup, GA
- Advanced Health Care CenterCertificate of Waiver, Physician office11D1034001
- Ahmed Elsharkawi, MD, LLCCertificate of Waiver, Physician office11D2288120
- Air Evac EMS Inc, Ae 96Certificate of Waiver, Ambulance11D2015830
- Am SNF LLCCertificate of Waiver, Skilled nursing or nursing facility11D0265382
- At Home Senior Living of JesupCertificate of Waiver, Assisted living facility11D2204955
- Bone & Joint Institute of South Georgia, IncCertificate of Waiver, Physician office11D2029997
- Community Home Care (Div of Wayne Memorial Hosp)Certificate of Waiver, Home health agency11D0265386
- Dipreta Dermatology/Jesup OfficeCertificate of Waiver, Physician office11D2020344
- Diversity Health Center, IncCertificate of Waiver, Federally qualified health center11D2177001
- ER Ellament Group, LLCCertificate of Waiver, Physician office11D2255330
Related
Questions
What is the CLIA number for Peachtree Family Medicine in Jesup?
11D2313640, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Peachtree Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2313640 expire?
The CMS file lists November 4, 2026 as the certificate expiration date; the certificate took effect November 5, 2024.