CLIA lab
CLIA 11D1034614: Northside Internal Medicine of Johns Creek
Suwanee, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1034614 belongs to Northside Internal Medicine of Johns Creek in Suwanee, GA.
Certificate of Waiver, effective January 1, 2025, expires December 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
- January 1, 2025
- Certificate expiration
- December 31, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 7, 2004
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 11D1034614
- Lab name
- Northside Internal Medicine of Johns Creek
- Address
- 3380 Paddocks Parkway, Suwanee, GA 30024
- Phone
- (678) 474-9633
- Fax
- (678) 474-9752
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Suwanee, GA
- Aga, LLC DBA Atlanta GastroenterologyCertificate of Waiver, Physician office11D2047849
- Agape Family Medicine, PCCertificate of Waiver, Physician office11D2313572
- Alliance Surgery Center at John's Creek, LLCCertificate of Waiver, Ambulatory surgery center11D2163359
- Amauwia Ama Nursing ServicesCertificate of Waiver, Mobile lab11D2243697
- Annadale at Suwanee, IncorporatedCertificate of Waiver, Other11D2127313
- Annandale at Suwanee IncorporateCertificate of Waiver, Skilled nursing or nursing facility11D2127312
- Annandale at Suwanee, Inc DBA D Scott Hudgens CTRCertificate of Waiver, Skilled nursing or nursing facility11D0998689
- Annandale at Suwanee, IncorporateCertificate of Waiver, Skilled nursing or nursing facility11D2127309
- Antebellum James BurgessCertificate of Waiver, Assisted living facility11D2110076
- Atlanta Gastroenterology Specialists, PCCertificate of Waiver, Physician office11D2001975
Related
Questions
What is the CLIA number for Northside Internal Medicine of Johns Creek in Suwanee?
11D1034614, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northside Internal Medicine of Johns Creek hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1034614 expire?
The CMS file lists December 31, 2026 as the certificate expiration date; the certificate took effect January 1, 2025.