CLIA lab
CLIA 11D2054167: Gwinnett Pediatrics & Adolescent Medicine
Sugar Hill, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2054167 belongs to Gwinnett Pediatrics & Adolescent Medicine in Sugar Hill, GA.
Certificate of Compliance, effective December 18, 2024, expires December 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 Compliance
- Certificate effective
- December 18, 2024
- Certificate expiration
- December 17, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 15, 2013
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 11D2054167
- Lab name
- Gwinnett Pediatrics & Adolescent Medicine
- Address
- 4700 Nelson Brogdon Blvd, Ste 180, Sugar Hill, GA 30518
- Phone
- (770) 995-0823
- Fax
- (678) 252-2248
Annual test volume the lab reported
- Waived tests
- 3,922
- Other nonwaived tests
- 7,700
- Total
- 11,622
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Sugar Hill, GA
- Benton House of Sugar HillCertificate of Waiver, Assisted living facility11D2009463
- Goldencare Hospice & Palliative CareCertificate of Waiver, Hospice11D2232548
- Gwinnett Clinic Sugar HillCertificate of Waiver, Physician office11D0963287
- Holbrook Assisted and Memory Living- Sugar HillCertificate of Waiver, Assisted living facility11D2260245
- Kidney Hypertension Clinic, PCCertificate for Provider-Performed Microscopy Procedures, Physician office11D2185483
- Kroger Pharmacy #687Certificate of Waiver, Pharmacy11D2023785
- Legacy Medical LLCCertificate of Waiver, Physician office11D2208235
- M2Z Labs & ScreeningsCertificate of Waiver, Mobile lab11D2317595
- Med Care EMS LLCCertificate of Waiver, Ambulance11D2282673
- Mill Creek Pediatric Associates LLCCertificate of Waiver, Physician office11D0989938
Related
Questions
What is the CLIA number for Gwinnett Pediatrics & Adolescent Medicine in Sugar Hill?
11D2054167, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gwinnett Pediatrics & Adolescent Medicine hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 11D2054167 expire?
The CMS file lists December 17, 2026 as the certificate expiration date; the certificate took effect December 18, 2024.