CLIA lab

CLIA 11D0883464: Northside- Nama Decatur/Tucker

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

CLIA number 11D0883464 belongs to Northside- Nama Decatur/Tucker in Decatur, GA.

Certificate of Waiver, effective August 17, 2026, expires August 16, 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 17, 2026
Certificate expiration
August 16, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 8, 1994
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
11D0883464
Lab name
Northside- Nama Decatur/Tucker
Address
2545 Lawrenceville Highway Suite 200, Decatur, GA 30033
Phone
(770) 934-7876
Fax
(770) 491-8434

Annual test volume the lab reported

Waived tests
1,300

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

Other labs in Decatur, GA

Related

Questions

What is the CLIA number for Northside- Nama Decatur/Tucker in Decatur?

11D0883464, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Northside- Nama Decatur/Tucker hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D0883464 expire?

The CMS file lists August 16, 2028 as the certificate expiration date; the certificate took effect August 17, 2026.

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