CLIA lab
CLIA 11D2319590: Vidalia Family Care LLC
Vidalia, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2319590 belongs to Vidalia Family Care LLC in Vidalia, GA.
Certificate of Waiver, effective March 4, 2025, expires March 3, 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
- March 4, 2025
- Certificate expiration
- March 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 4, 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
- 11D2319590
- Lab name
- Vidalia Family Care LLC
- Address
- 1702 Meadows Lane, Vidalia, GA 30474
- Phone
- (912) 805-2198
- Fax
- (912) 805-2997
Annual test volume the lab reported
- Waived tests
- 200
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 Vidalia Family Care LLC in Vidalia?
11D2319590, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vidalia Family Care LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2319590 expire?
The CMS file lists March 3, 2027 as the certificate expiration date; the certificate took effect March 4, 2025.