CLIA lab

CLIA 11D2071344: Southeast Permanente Medical Group, Inc

Duluth, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D2071344 belongs to Southeast Permanente Medical Group, Inc in Duluth, GA.

Certificate for Provider-Performed Microscopy Procedures, effective March 19, 2026, expires March 18, 2028.

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 for Provider-Performed Microscopy Procedures
Certificate effective
March 19, 2026
Certificate expiration
March 18, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 10, 2014
Facility type
Physician office
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D2071344
Lab name
Southeast Permanente Medical Group, Inc
Address
3650 Steve Reynolds Blvd, Duluth, GA 30096
Phone
(770) 931-6112
Fax
(770) 931-6404

Annual test volume the lab reported

Waived tests
15,000
Provider-performed microscopy tests
30
Total
15,030

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Duluth, GA

Related

Questions

What is the CLIA number for Southeast Permanente Medical Group, Inc in Duluth?

11D2071344, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Southeast Permanente Medical Group, Inc hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 11D2071344 expire?

The CMS file lists March 18, 2028 as the certificate expiration date; the certificate took effect March 19, 2026.

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