CLIA lab
CLIA 11D0993813: Northside Loganville Primary Care
Loganville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0993813 belongs to Northside Loganville Primary Care in Loganville, GA.
Certificate for Provider-Performed Microscopy Procedures, effective November 27, 2025, expires November 26, 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
- November 27, 2025
- Certificate expiration
- November 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 27, 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
- 11D0993813
- Lab name
- Northside Loganville Primary Care
- Address
- 115 Lee Byrd Road, Loganville, GA 30052
- Phone
- (770) 554-4717
- Fax
- (770) 554-4681
Annual test volume the lab reported
- Waived tests
- 2,000
- Provider-performed microscopy tests
- 500
- Total
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Aim Medical CenterCertificate of Waiver, Physician office11D2217970
- Angelic Clinical Services, LLCCertificate of Waiver, Other practitioner11D2138442
- Athens Orthopedic ClinicCertificate of Waiver, Ambulatory surgery center11D2122977
- Athens Orthopedic Clinic - Loganville MriCertificate of Waiver, Other11D2164240
- Atlanta Medical Aesthetic CTR IncCertificate of Waiver, Physician office11D2026951
- Carr Medical Group PCCertificate for Provider-Performed Microscopy Procedures, Physician office11D1008264
- Christ the King HealthcareCertificate of Waiver, Physician office11D1104864
- David A Fields MD Family Care PCCertificate of Waiver, Physician office11D0919865
- FP- Peachtree Immediate Care-LgnCertificate of Waiver, Physician office11D2222062
Related
Questions
What is the CLIA number for Northside Loganville Primary Care in Loganville?
11D0993813, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northside Loganville Primary Care hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D0993813 expire?
The CMS file lists November 26, 2027 as the certificate expiration date; the certificate took effect November 27, 2025.