CLIA lab
CLIA 11D1049190: Northwest Georgia Dialysis
Canton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1049190 belongs to Northwest Georgia Dialysis in Canton, GA.
Certificate of Waiver, effective December 28, 2025, expires December 27, 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
- December 28, 2025
- Certificate expiration
- December 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 28, 2005
- Facility type
- End stage renal disease dialysis facility
- 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
- 11D1049190
- Lab name
- Northwest Georgia Dialysis
- Address
- 260 Hospital Road, Canton, GA 30114
- Phone
- (770) 495-7987
- Fax
- (770) 495-2366
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Northwest Georgia DialysisCMS Care Compare ratings for the facility at the same street address
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- Advanced Urology Institute of Georgia, LLCCertificate of Waiver, Physician office11D2186854
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- Ahs Surgery Center Canton, LLCCertificate of Waiver, Ambulatory surgery center11D2076515
- American Health Imaging of CantonCertificate of Waiver, Independent11D2075795
- Aqua Dermatology of Georgia, PCCertificate of Registration, Physician office11D2312115
- Atlanta Cancer Care Canton OfficeCertificate of Accreditation, Physician office11D2129965
- Atlanta North Dermatology & Skin CareCertificate of Registration, Physician office11D2324304
- Aylo Health - CantonCertificate of Accreditation, Physician office11D2290810
- Aylo Health - Hickory FlatCertificate of Accreditation, Physician office11D2316749
Related
Questions
What is the CLIA number for Northwest Georgia Dialysis in Canton?
11D1049190, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northwest Georgia Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1049190 expire?
The CMS file lists December 27, 2027 as the certificate expiration date; the certificate took effect December 28, 2025.