CLIA lab
CLIA 11D2351070: 912 Healthcare, LLC
Baxley, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2351070 belongs to 912 Healthcare, LLC in Baxley, GA.
Certificate of Waiver, effective September 21, 2026, expires September 20, 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 21, 2026
- Certificate expiration
- September 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 21, 2026
- 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
- 11D2351070
- Lab name
- 912 Healthcare, LLC
- Address
- 85 N Main Street, Baxley, GA 31513
- Phone
- (912) 253-5040
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.
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- Appling County Ambulance ServiceCertificate of Waiver, Ambulance11D2199373
- Appling County Board of EducationCertificate of Waiver, School or student health service11D2107538
- Appling Family Total Healthcare, PCCertificate of Waiver, Other practitioner11D2033904
- Appling Healthcare SystemCertificate of Accreditation, Hospital11D0022129
- Appling ItfCertificate of Waiver, Prison11D2237834
- Appling Medical Group- DR O V FernandoCertificate for Provider-Performed Microscopy Procedures, Rural health clinic11D0943174
- Appling Nursing & Rehabilitation PavilionCertificate of Waiver, Skilled nursing or nursing facility11D2191866
- Appling PediatricsCertificate for Provider-Performed Microscopy Procedures, Physician office11D0976294
- Appling Total Wellness LLCCertificate of Waiver, Physician office11D2275760
Related
Questions
What is the CLIA number for 912 Healthcare, LLC in Baxley?
11D2351070, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does 912 Healthcare, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2351070 expire?
The CMS file lists September 20, 2028 as the certificate expiration date; the certificate took effect September 21, 2026.