CLIA lab

CLIA 11D0258293: Southside Medical Care

Union City, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D0258293 belongs to Southside Medical Care in Union City, GA.

Certificate of Waiver, effective August 22, 2026, expires August 21, 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 22, 2026
Certificate expiration
August 21, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
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
11D0258293
Lab name
Southside Medical Care
Address
6325-D Shannon Parkway, Union City, GA 30291
Phone
(770) 964-1400
Fax
(770) 306-1343

Annual test volume the lab reported

Waived tests
800

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Union City, GA

Related

Questions

What is the CLIA number for Southside Medical Care in Union City?

11D0258293, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Southside Medical Care hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D0258293 expire?

The CMS file lists August 21, 2028 as the certificate expiration date; the certificate took effect August 22, 2026.

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