CLIA lab
CLIA 11D2347343: Shady Grove Baptist Church Health Fair
Ideal, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2347343 belongs to Shady Grove Baptist Church Health Fair in Ideal, GA.
Certificate of Waiver, effective July 16, 2026, expires July 15, 2028.
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
- July 16, 2026
- Certificate expiration
- July 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 16, 2026
- Facility type
- Health fair
- Ownership (control type)
- Religious affiliation
- 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
- 11D2347343
- Lab name
- Shady Grove Baptist Church Health Fair
- Address
- 5311 White Water Road, Ideal, GA 31041
- Phone
- (229) 942-0271
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.
Other labs in Ideal, GA
Related
Questions
What is the CLIA number for Shady Grove Baptist Church Health Fair in Ideal?
11D2347343, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Shady Grove Baptist Church Health Fair hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2347343 expire?
The CMS file lists July 15, 2028 as the certificate expiration date; the certificate took effect July 16, 2026.