CLIA lab
CLIA 11D1000577: Northside Primary Care - Acworth
Acworth, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1000577 belongs to Northside Primary Care - Acworth in Acworth, GA.
Certificate of Waiver, effective July 1, 2026, expires June 30, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- July 1, 2026
- Certificate expiration
- June 30, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 18, 2002
- 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
- 11D1000577
- Lab name
- Northside Primary Care - Acworth
- Address
- 4450 Calibre Crossing, Suite 1224, Acworth, GA 30101
- Phone
- (770) 974-6550
- Fax
- (770) 974-6551
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Acworth, GA
- Acaring Hospice, LLCCertificate of Waiver, Other11D2299772
- Acworth Dermatology & Skin CancerCertificate of Compliance, Physician office11D2086982
- Acworth Family EyecareCertificate of Waiver, Physician office11D2146581
- Acworth Primary HealthcareCertificate of Waiver, Physician office11D0993631
- Addiction Treatment Center of AtlantaCertificate of Registration, Physician office11D2307608
- American Clinical TrialsCertificate of Waiver, Physician office11D2204597
- Assured Hospice Care, LLCCertificate of Waiver, Hospice11D1091870
- Bio-Medical Applications of Georgia IncCertificate of Waiver, End stage renal disease dialysis facility11D2037114
- Celebration Village AcworthCertificate of Waiver, Assisted living facility11D2125687
- Center for Spine Interventions ASC 3, LLCCertificate of Waiver, Physician office11D2125680
Related
Questions
What is the CLIA number for Northside Primary Care - Acworth in Acworth?
11D1000577, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northside Primary Care - Acworth hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1000577 expire?
The CMS file lists June 30, 2028 as the certificate expiration date; the certificate took effect July 1, 2026.