CLIA lab
CLIA 11D1103721: Northside Roswell Imaging
Roswell, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1103721 belongs to Northside Roswell Imaging in Roswell, GA.
Certificate of Waiver, effective August 17, 2025, expires August 16, 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
- August 17, 2025
- Certificate expiration
- August 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 17, 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
- 11D1103721
- Lab name
- Northside Roswell Imaging
- Address
- 11660 Alpharetta Highway Suite 550, Roswell, GA 30076
- Phone
- (770) 664-8600
- Fax
- (770) 664-8230
Annual test volume the lab reported
- Waived tests
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Roswell, GA
- About You Family MedicineCertificate of Waiver, Physician office11D2285170
- Advanced Gynecology-AlpharettaCertificate of Waiver, Physician office11D2164259
- Advanced Pathology InstituteCertificate of Compliance, Independent11D2193324
- Advanced Urology AlpharettaCertificate of Waiver, Physician office11D2164260
- Aesthetic Speciality CentreCertificate for Provider-Performed Microscopy Procedures, Physician office11D1094207
- Align Spine and Pain Institute, LLCCertificate of Waiver, Physician office11D2265504
- Alpharetta Internal MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office11D0720188
- Alpharetta Roswell Family PracticeCertificate of Waiver, Physician office11D1021772
- Aqua Dermatology of Georgia, PCCertificate of Compliance, Physician office11D2107014
- Arcpoint Labs of Roswell, GeorgiaCertificate of Waiver, Other11D2209413
Related
Questions
What is the CLIA number for Northside Roswell Imaging in Roswell?
11D1103721, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northside Roswell Imaging hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1103721 expire?
The CMS file lists August 16, 2027 as the certificate expiration date; the certificate took effect August 17, 2025.