CLIA lab
CLIA 11D2069050: Clinica Medica Doctor Vizcarra
Norcross, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2069050 belongs to Clinica Medica Doctor Vizcarra in Norcross, GA.
Certificate of Waiver, effective November 18, 2025, expires November 17, 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
- November 18, 2025
- Certificate expiration
- November 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 18, 2013
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 11D2069050
- Lab name
- Clinica Medica Doctor Vizcarra
- Address
- 6825 Jimmy Carter Blvd, Building 1400, Suite 1490, Norcross, GA 30071
- Phone
- (678) 615-2565
- Fax
- (678) 825-3928
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Clinica Medica Doctor Vizcarra in Norcross?
11D2069050, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Clinica Medica Doctor Vizcarra hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2069050 expire?
The CMS file lists November 17, 2027 as the certificate expiration date; the certificate took effect November 18, 2025.