CLIA lab
CLIA 11D2329957: Colquit Regional Diaylsis Home
Moultrie, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2329957 belongs to Colquit Regional Diaylsis Home in Moultrie, GA.
Certificate of Waiver, effective September 9, 2025, expires September 8, 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
- September 9, 2025
- Certificate expiration
- September 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 9, 2025
- Facility type
- End stage renal disease dialysis facility
- Ownership (control type)
- Private
- 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
- 11D2329957
- Lab name
- Colquit Regional Diaylsis Home
- Address
- 15 Hospital Park, Moultrie, GA 31768
- Phone
- (229) 502-9601
- Fax
- (229) 891-9562
Annual test volume the lab reported
- Waived tests
- 30
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Moultrie, GA
- Betty V Koukism MDCertificate of Waiver, Physician office11D2149464
- Careconnect PediatricsCertificate of Waiver, Federally qualified health center11D2153051
- Careconnect Urgent CareCertificate of Waiver, Federally qualified health center11D2101706
- Ccsg IncCertificate of Waiver, Physician office11D2224496
- Chancy Drugs MoultireCertificate of Waiver, Pharmacy11D2184893
- Colquitt Co Board of EducationCertificate of Waiver, School or student health service11D2135673
- Colquitt County EMSCertificate of Waiver, Ambulance11D2199858
- Colquitt County JailCertificate of Waiver, Prison11D2292378
- Colquitt Regional Community ParamedicineCertificate of Waiver, Other11D2277986
- Colquitt Regional Home Care ServicesCertificate of Waiver, Home health agency11D0884710
Related
Questions
What is the CLIA number for Colquit Regional Diaylsis Home in Moultrie?
11D2329957, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Colquit Regional Diaylsis Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2329957 expire?
The CMS file lists September 8, 2027 as the certificate expiration date; the certificate took effect September 9, 2025.