CLIA lab
CLIA 11D1049187: Dekalb Pediatric Associates PC
Tucker, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1049187 belongs to Dekalb Pediatric Associates PC in Tucker, GA.
Certificate of Waiver, effective June 14, 2025, expires June 13, 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 Waiver
- Certificate effective
- June 14, 2025
- Certificate expiration
- June 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 28, 2005
- 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
- 11D1049187
- Lab name
- Dekalb Pediatric Associates PC
- Address
- 1390 Montreal Road Suite 180, Tucker, GA 30084
- Phone
- (404) 446-4600
- Fax
- (404) 446-4601
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Anwan Regenerative CenterCertificate of Waiver, Independent11D2283291
- Anwan Wellness Medical CenterCertificate of Waiver, Physician office11D1043486
- Athanasios Verras MDCertificate of Waiver, Physician office11D0678791
- Atlanta Health Center PCCertificate of Waiver, Physician office11D2298343
- Atlanta Heart Specialist, LLCCertificate of Waiver, Physician office11D2332073
- Atlanta Heart Specialists LaboratoryCertificate of Waiver, Physician office11D1015089
- Bliss Family MedicineCertificate of Waiver, Physician office11D2321961
- Bma of TuckerCertificate of Waiver, End stage renal disease dialysis facility11D0662503
- Briarwood Health Center By HarborviewCertificate of Waiver, Skilled nursing or nursing facility11D2128966
Related
Questions
What is the CLIA number for Dekalb Pediatric Associates PC in Tucker?
11D1049187, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dekalb Pediatric Associates PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1049187 expire?
The CMS file lists June 13, 2027 as the certificate expiration date; the certificate took effect June 14, 2025.