CLIA lab
CLIA 11D2016422: Northside Riverdale Imaging
Riverdale, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2016422 belongs to Northside Riverdale Imaging in Riverdale, GA.
Certificate of Waiver, effective November 18, 2024, expires November 17, 2026.
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
- November 18, 2024
- Certificate expiration
- November 17, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 18, 2010
- Facility type
- Other
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2016422
- Lab name
- Northside Riverdale Imaging
- Address
- 34 Upper Riverdale Road, Suite 102, Riverdale, GA 30274
- Phone
- (770) 991-6001
- Fax
- (770) 991-6002
Annual test volume the lab reported
- Waived tests
- 375
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Riverdale, GA
- A Beautiful Mind Psychiatry PLLCCertificate of Waiver, Physician office11D2306223
- Absolute Health Family and Urgent Care Clinic, LLCCertificate of Waiver, Physician office11D2149541
- Aga, LLCCertificate of Waiver, Physician office11D2157305
- Ahmed Family PracticeCertificate of Waiver, Physician office11D2106082
- Ahmed Family PracticeCertificate of Waiver, Physician office11D2314903
- Akstein Eye Center PCCertificate of Waiver, Ambulatory surgery center11D0971472
- Allen Family Healthcare, LLCCertificate of Waiver, Community clinic11D2170256
- Angel's Grace Hospice and Palliative Care LPCertificate of Waiver, Hospice11D2323728
- Arbor House Healing LLCCertificate of Waiver, Other11D2346270
- Atlanta Detox Center, LLCCertificate of Waiver, Other11D2143139
Related
Questions
What is the CLIA number for Northside Riverdale Imaging in Riverdale?
11D2016422, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northside Riverdale Imaging hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2016422 expire?
The CMS file lists November 17, 2026 as the certificate expiration date; the certificate took effect November 18, 2024.