CLIA lab
CLIA 11D0900654: James E Gleason JR Mdpc
Riverdale, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0900654 belongs to James E Gleason JR Mdpc in Riverdale, GA.
Certificate for Provider-Performed Microscopy Procedures, effective May 3, 2025, expires May 2, 2027.
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 for Provider-Performed Microscopy Procedures
- Certificate effective
- May 3, 2025
- Certificate expiration
- May 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 3, 1995
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 11D0900654
- Lab name
- James E Gleason JR Mdpc
- Address
- 33 Upper Riverdale Road Suite 118, Riverdale, GA 30274
- Phone
- (770) 994-6969
- Fax
- (888) 651-5324
Annual test volume the lab reported
- Waived tests
- 1,450
- Provider-performed microscopy tests
- 1,500
- Total
- 2,950
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 James E Gleason JR Mdpc in Riverdale?
11D0900654, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does James E Gleason JR Mdpc hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D0900654 expire?
The CMS file lists May 2, 2027 as the certificate expiration date; the certificate took effect May 3, 2025.