CLIA lab

CLIA 11D1014476: Gwinnett Pediatrics and Adolescent Medicine

Dacula, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D1014476 belongs to Gwinnett Pediatrics and Adolescent Medicine in Dacula, GA.

Certificate of Compliance, effective September 18, 2025, expires September 17, 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 Compliance
Certificate effective
September 18, 2025
Certificate expiration
September 17, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 8, 2003
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D1014476
Lab name
Gwinnett Pediatrics and Adolescent Medicine
Additional name
Hamilton Mill Office
Address
2089 Teron Trace Suite 100, Dacula, GA 30019
Phone
(770) 995-0823
Fax
(678) 252-2248

Annual test volume the lab reported

Waived tests
5,800
Other nonwaived tests
12,456
Total
18,256

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Dacula, GA

Related

Questions

What is the CLIA number for Gwinnett Pediatrics and Adolescent Medicine in Dacula?

11D1014476, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Gwinnett Pediatrics and Adolescent Medicine hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 11D1014476 expire?

The CMS file lists September 17, 2027 as the certificate expiration date; the certificate took effect September 18, 2025.

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