CLIA lab
CLIA 11D2348364: Philadelphia College of Osteopathic Medicine
Moultrie, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2348364 belongs to Philadelphia College of Osteopathic Medicine in Moultrie, GA.
Certificate of Waiver, effective August 5, 2026, expires August 4, 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
- August 5, 2026
- Certificate expiration
- August 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 5, 2026
- Facility type
- Mobile lab
- 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
- 11D2348364
- Lab name
- Philadelphia College of Osteopathic Medicine
- Address
- 2050 Tallokas Road, Moultrie, GA 31768
- Phone
- (229) 668-3110
Annual test volume the lab reported
- Waived tests
- 1,000
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 Philadelphia College of Osteopathic Medicine in Moultrie?
11D2348364, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Philadelphia College of Osteopathic Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2348364 expire?
The CMS file lists August 4, 2028 as the certificate expiration date; the certificate took effect August 5, 2026.