CLIA lab
CLIA 11D2317684: Jeff Davis Hospital EMS
Hazlehurst, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2317684 belongs to Jeff Davis Hospital EMS in Hazlehurst, 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
- Ambulance
- Ownership (control type)
- Government, county
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2317684
- Lab name
- Jeff Davis Hospital EMS
- Address
- 163 South Tallahasse Street, Hazlehurst, GA 31539
- Phone
- (912) 375-7781
- Fax
- (912) 379-5191
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Hazlehurst, GA
- Allen Crawford Fnp-PcCertificate of Waiver, Physician office11D2290791
- Burkett Family Practice, LLCCertificate of Waiver, Physician office11D2294782
- Family Healthcare ConnectionsCertificate of Waiver, Rural health clinic11D1040520
- Hazelhurst Court Care and Rehabilitation CenterCertificate of Waiver, Skilled nursing or nursing facility11D0928733
- Hazlehurst PediaticsCertificate of Waiver, Physician office11D2167875
- Jeff Davis County EMSCertificate of Waiver, Ambulance11D0861750
- Jeff Davis Family Medical GroupCertificate for Provider-Performed Microscopy Procedures, Rural health clinic11D2104510
- Jeff Davis HospitalCertificate of Accreditation, Hospital11D0022183
- Jeff Davis Urgent CareCertificate of Waiver, Physician office11D2082878
- Jeff Davis Wound Care CenterCertificate of Waiver, Other11D2144681
Related
Questions
What is the CLIA number for Jeff Davis Hospital EMS in Hazlehurst?
11D2317684, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jeff Davis Hospital EMS hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2317684 expire?
The CMS file lists January 28, 2027 as the certificate expiration date; the certificate took effect January 29, 2025.