CLIA lab
CLIA 11D1029125: Northside Gainesville Imaging
Gainesville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1029125 belongs to Northside Gainesville Imaging in Gainesville, GA.
Certificate of Waiver, effective June 30, 2026, expires June 29, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 30, 2026
- Certificate expiration
- June 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 10, 2004
- Facility type
- Other
- 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
- 11D1029125
- Lab name
- Northside Gainesville Imaging
- Address
- 425 Broad Street, SE, Gainesville, GA 30501
- Phone
- (770) 718-9776
- Fax
- (770) 718-1910
Annual test volume the lab reported
- Waived tests
- 51
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Northside Gainesville Imaging in Gainesville?
11D1029125, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northside Gainesville Imaging hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1029125 expire?
The CMS file lists June 29, 2028 as the certificate expiration date; the certificate took effect June 30, 2026.