CLIA lab
CLIA 11D1105877: Northeast Georgia Physicians Group Pediatrics
Demorest, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1105877 belongs to Northeast Georgia Physicians Group Pediatrics in Demorest, GA.
Certificate of Waiver, effective September 30, 2025, expires September 29, 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
- September 30, 2025
- Certificate expiration
- September 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 30, 2009
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 11D1105877
- Lab name
- Northeast Georgia Physicians Group Pediatrics
- Address
- 870 Austin Drive, Ste B, Demorest, GA 30535
- Phone
- (706) 839-1333
- Fax
- (706) 827-5078
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Demorest, GA
- Cardiovascular Clinic of North GaCertificate of Waiver, Physician office11D2344788
- Clinic of North Georgia, theCertificate of Waiver, Other11D2286815
- Demorest OB GYNCertificate for Provider-Performed Microscopy Procedures, Physician office11D0878100
- Dermatology Associates of Northeast GeorgiaCertificate for Provider-Performed Microscopy Procedures, Physician office11D2276210
- F Stuart Sanders MDCertificate of Waiver, Physician office11D0261515
- Family Practice of Habersham, PCCertificate of Waiver, Physician office11D0676816
- First Care of HabershamCertificate of Waiver, Physician office11D1074241
- Freedom Hill Recovery Home for WomenCertificate of Waiver, Other11D2148695
- Fresenius Medical Care Kidney Healthcare LLCCertificate of Waiver, End stage renal disease dialysis facility11D1085589
- G-1 Healthcare LLCCertificate of Waiver, Other11D2286003
Related
Questions
What is the CLIA number for Northeast Georgia Physicians Group Pediatrics in Demorest?
11D1105877, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northeast Georgia Physicians Group Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1105877 expire?
The CMS file lists September 29, 2027 as the certificate expiration date; the certificate took effect September 30, 2025.