CLIA lab
CLIA 11D2049293: Northside Cherokee Pediatrics Holly Springs
Holly Springs, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2049293 belongs to Northside Cherokee Pediatrics Holly Springs in Holly Springs, GA.
Certificate of Waiver, effective November 2, 2024, expires November 1, 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 2, 2024
- Certificate expiration
- November 1, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 2, 2012
- Facility type
- Physician office
- 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
- 11D2049293
- Lab name
- Northside Cherokee Pediatrics Holly Springs
- Address
- 684 Sixes Road, Suite 130, Holly Springs, GA 30115
- Phone
- (678) 388-5485
- Fax
- (678) 388-5489
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Holly Springs, GA
- Laureate Medical Group Northside, LLCCertificate of Waiver, Physician office11D2071920
- NW Ga Oncology CTR A Service of Wellstar Cobb HospCertificate of Accreditation, Other11D2205217
- Northside Family Med &urgent Care of Holly SpringsCertificate of Waiver, Other practitioner11D2005985
- Northside Heart Failure Therapy Holly SpringsCertificate of Waiver, Physician office11D2288532
- Northside Holly Springs RadiologyCertificate of Waiver, Other11D2082686
- Northside Towne Lake Primary Care- Holly SpringsCertificate of Waiver, Physician office11D2186883
- Tspmg, Inc - Holly SpringsCertificate for Provider-Performed Microscopy Procedures, Physician office11D2006605
- WMG Cherokee Health Park EndocrinologyCertificate of Waiver, Physician office11D2189377
- WMG Urgent Care Cherokee Health ParkCertificate of Compliance, Physician office11D1100175
- Walmart Pharmacy 10-5814Certificate of Waiver, Pharmacy11D2174702
Related
Questions
What is the CLIA number for Northside Cherokee Pediatrics Holly Springs in Holly Springs?
11D2049293, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northside Cherokee Pediatrics Holly Springs hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2049293 expire?
The CMS file lists November 1, 2026 as the certificate expiration date; the certificate took effect November 2, 2024.