CLIA lab
CLIA 11D2317676: Southern Elite Care
Tifton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2317676 belongs to Southern Elite Care in Tifton, GA.
Certificate of Waiver, effective January 29, 2025, expires January 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
- January 29, 2025
- Certificate expiration
- January 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 29, 2025
- 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
- 11D2317676
- Lab name
- Southern Elite Care
- Address
- 1499 Kennedy Road, Tifton, GA 31794
- Phone
- (229) 920-4970
- Fax
- (229) 920-4975
Annual test volume the lab reported
- Waived tests
- 1,000
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 Southern Elite Care in Tifton?
11D2317676, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Elite Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2317676 expire?
The CMS file lists January 28, 2027 as the certificate expiration date; the certificate took effect January 29, 2025.