CLIA lab

CLIA 11D1076783: Northside Hospital Inc-Gcs/Paulding

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

CLIA number 11D1076783 belongs to Northside Hospital Inc-Gcs/Paulding in Hiram, GA.

Certificate of Accreditation, effective December 18, 2025, expires December 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 Accreditation
Certificate effective
December 18, 2025
Certificate expiration
December 17, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 26, 2007
Facility type
Physician office
Ownership (control type)
Private
Lab classification
CLIA laboratory
Accrediting organizations
The Joint Commission
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
11D1076783
Lab name
Northside Hospital Inc-Gcs/Paulding
Address
159 Enterprise Path, Suite 503, Hiram, GA 30141
Phone
(770) 443-6019
Fax
(770) 443-7017

Annual test volume the lab reported

Waived tests
119
Tests under accreditation
11,133
Total
11,252

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

Affiliated CLIA numbers

Other labs in Hiram, GA

Related

Questions

What is the CLIA number for Northside Hospital Inc-Gcs/Paulding in Hiram?

11D1076783, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Northside Hospital Inc-Gcs/Paulding hold?

A Certificate of Accreditation, according to the CMS file.

When does CLIA 11D1076783 expire?

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

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