CLIA lab
CLIA 11D1009039: Eastside Internal Medicine LLC
Conyers, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1009039 belongs to Eastside Internal Medicine LLC in Conyers, GA.
Certificate of Waiver, effective November 1, 2024, expires October 31, 2026.
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
- November 1, 2024
- Certificate expiration
- October 31, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 5, 2003
- 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
- 11D1009039
- Lab name
- Eastside Internal Medicine LLC
- Address
- 2080 Eastside Drive, Conyers, GA 30013
- Phone
- (678) 625-7800
- Fax
- (678) 625-7888
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Related
Questions
What is the CLIA number for Eastside Internal Medicine LLC in Conyers?
11D1009039, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Eastside Internal Medicine LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1009039 expire?
The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect November 1, 2024.