CLIA lab
CLIA 11D1096400: Imaging Center Braselton
Braselton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1096400 belongs to Imaging Center Braselton in Braselton, GA.
Certificate of Waiver, effective March 4, 2025, expires March 3, 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
- March 4, 2025
- Certificate expiration
- March 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 4, 2009
- Facility type
- Ancillary test site
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D1096400
- Lab name
- Imaging Center Braselton
- Address
- 1515 River Place, Braselton, GA 30517
- Phone
- (404) 848-5975
Annual test volume the lab reported
- Waived tests
- 520
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Braselton, GA
- Advanced Urology Institute of Georgia, PCCertificate of Waiver, Physician office11D2187174
- Allcare Ga BraseltonCertificate of Waiver, Physician office11D2325623
- Braselton ASC, LLCCertificate of Waiver, Ambulatory surgery center11D2279255
- Braselton DialysisCertificate of Waiver, End stage renal disease dialysis facility11D2116766
- Braselton Urgent CareCertificate of Waiver, Other11D2159943
- Cardiovasculatr Clinic of North GeorgiaCertificate of Waiver, Physician office11D2341756
- Classic EMS IncCertificate of Waiver, Ambulance11D2305163
- Diamond Nourish LLCCertificate of Waiver, Other11D2330255
- FP- Peachtree Immediate Care (BRS)Certificate of Waiver, Physician office11D2324637
- Family Practice CenterCertificate for Provider-Performed Microscopy Procedures, Physician office11D2307208
Related
Questions
What is the CLIA number for Imaging Center Braselton in Braselton?
11D1096400, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Imaging Center Braselton hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1096400 expire?
The CMS file lists March 3, 2027 as the certificate expiration date; the certificate took effect March 4, 2025.