CLIA lab

CLIA 11D0723457: Dourron Northside Obgyn

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

CLIA number 11D0723457 belongs to Dourron Northside Obgyn in Decatur, GA.

Certificate of Waiver, effective September 1, 2026, expires August 31, 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 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 22, 1993
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D0723457
Lab name
Dourron Northside Obgyn
Address
755 Commerce Drive, Suite 301, Decatur, GA 30030
Phone
(404) 294-0472
Fax
(404) 294-1558

Affiliated CLIA numbers

Other labs in Decatur, GA

Related

Questions

What is the CLIA number for Dourron Northside Obgyn in Decatur?

11D0723457, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Dourron Northside Obgyn hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D0723457 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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