CLIA lab
CLIA 11D1095027: Northside Imaging Center at Hamilton Mill
Dacula, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1095027 belongs to Northside Imaging Center at Hamilton Mill in Dacula, GA.
Certificate of Waiver, effective May 18, 2026, expires May 17, 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
- May 18, 2026
- Certificate expiration
- May 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 2, 2009
- Facility type
- Other
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D1095027
- Lab name
- Northside Imaging Center at Hamilton Mill
- Address
- 2078 Teron Trace Suite 200, Dacula, GA 30019
- Phone
- (678) 312-8650
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Dacula, GA
- A Heart of A NurseCertificate of Waiver, Mobile lab11D2299495
- Advanced Dermatology of GeorgiaCertificate for Provider-Performed Microscopy Procedures, Physician office11D2050149
- Alana Recovery Centers, LLC DBA Promises AtlCertificate of Waiver, Other11D2313468
- Align Mobile Medical Services LLCCertificate of Waiver, Other11D2268547
- Arbor Terrace at Hamilton MillCertificate of Waiver, Assisted living facility11D2107688
- Ball PediatricsCertificate of Waiver, Physician office11D0995408
- Bio-Medical Applications of Georgia, IncCertificate of Waiver, End stage renal disease dialysis facility11D2118758
- Burgeon MedixCertificate of Waiver, Mobile lab11D2339742
- Children's at Hamilton Creek Urgent Care LabCertificate of Accreditation, Other11D2128348
- Cornerstone PediatricsCertificate of Waiver, Physician office11D2141641
Related
Questions
What is the CLIA number for Northside Imaging Center at Hamilton Mill in Dacula?
11D1095027, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northside Imaging Center at Hamilton Mill hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1095027 expire?
The CMS file lists May 17, 2028 as the certificate expiration date; the certificate took effect May 18, 2026.