CLIA lab
CLIA 11D2330135: David Kavtaradze, MD Inc
Cordele, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2330135 belongs to David Kavtaradze, MD Inc in Cordele, GA.
Certificate of Waiver, effective September 11, 2025, expires September 10, 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 11, 2025
- Certificate expiration
- September 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 11, 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
- 11D2330135
- Lab name
- David Kavtaradze, MD Inc
- Address
- 116 East 4th Avenue, Cordele, GA 31015
- Phone
- (229) 271-4608
- Fax
- (229) 271-4609
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.
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- Cordele Dialysis CenterCertificate of Waiver, Blood bank11D1079625
Related
Questions
What is the CLIA number for David Kavtaradze, MD Inc in Cordele?
11D2330135, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does David Kavtaradze, MD Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2330135 expire?
The CMS file lists September 10, 2027 as the certificate expiration date; the certificate took effect September 11, 2025.