CLIA lab
CLIA 11D1099663: Northside Lake Hearn Imaging
Atlanta, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1099663 belongs to Northside Lake Hearn Imaging in Atlanta, GA.
Certificate of Waiver, effective May 19, 2025, expires May 18, 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
- May 19, 2025
- Certificate expiration
- May 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 19, 2009
- Facility type
- Other
- Ownership (control type)
- Private
- 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
- 11D1099663
- Lab name
- Northside Lake Hearn Imaging
- Address
- 1100 Lake Hearn Drive, Suite 150, Atlanta, GA 30342
- Phone
- (404) 255-5512
- Fax
- (404) 255-0177
Annual test volume the lab reported
- Waived tests
- 230
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Northside Lake Hearn Imaging in Atlanta?
11D1099663, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northside Lake Hearn Imaging hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1099663 expire?
The CMS file lists May 18, 2027 as the certificate expiration date; the certificate took effect May 19, 2025.