CLIA lab
CLIA 11D2350379: Southwell Cardiology
Tifton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2350379 belongs to Southwell Cardiology in Tifton, GA.
Certificate of Waiver, effective September 9, 2026, expires September 8, 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
- September 9, 2026
- Certificate expiration
- September 8, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 9, 2026
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 11D2350379
- Lab name
- Southwell Cardiology
- Address
- 907 18th St E Ste 100, Tifton, GA 31794
- Phone
- (229) 353-6121
- Fax
- (229) 353-6192
Annual test volume the lab reported
- Waived tests
- 500
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 Southwell Cardiology in Tifton?
11D2350379, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southwell Cardiology hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2350379 expire?
The CMS file lists September 8, 2028 as the certificate expiration date; the certificate took effect September 9, 2026.