CLIA lab
CLIA 11D0992004: Johns Creek Pediatrics PC
Suwanee, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0992004 belongs to Johns Creek Pediatrics PC in Suwanee, GA.
Certificate of Waiver, effective April 30, 2025, expires April 29, 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 of Waiver
- Certificate effective
- April 30, 2025
- Certificate expiration
- April 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 4, 2001
- 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
- 11D0992004
- Lab name
- Johns Creek Pediatrics PC
- Address
- 4395 Johns Creek Parkway Suite 150, Suwanee, GA 30024
- Phone
- (770) 814-1160
- Fax
- (770) 814-1173
Annual test volume the lab reported
- Waived tests
- 4,800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Alliance Surgery Center at John's Creek, LLCCertificate of Waiver, Ambulatory surgery center11D2163359
- Amauwia Ama Nursing ServicesCertificate of Waiver, Mobile lab11D2243697
- Annadale at Suwanee, IncorporatedCertificate of Waiver, Other11D2127313
- Annandale at Suwanee IncorporateCertificate of Waiver, Skilled nursing or nursing facility11D2127312
- Annandale at Suwanee, Inc DBA D Scott Hudgens CTRCertificate of Waiver, Skilled nursing or nursing facility11D0998689
- Annandale at Suwanee, IncorporateCertificate of Waiver, Skilled nursing or nursing facility11D2127309
- Antebellum James BurgessCertificate of Waiver, Assisted living facility11D2110076
- Atlanta Gastroenterology Specialists, PCCertificate of Waiver, Physician office11D2001975
Related
Questions
What is the CLIA number for Johns Creek Pediatrics PC in Suwanee?
11D0992004, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Johns Creek Pediatrics PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0992004 expire?
The CMS file lists April 29, 2027 as the certificate expiration date; the certificate took effect April 30, 2025.