CLIA lab
CLIA 11D2071920: Laureate Medical Group Northside, LLC
Holly Springs, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2071920 belongs to Laureate Medical Group Northside, LLC in Holly Springs, GA.
Certificate of Waiver, effective January 22, 2026, expires January 21, 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 of Waiver
- Certificate effective
- January 22, 2026
- Certificate expiration
- January 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 22, 2014
- Facility type
- Physician office
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2071920
- Lab name
- Laureate Medical Group Northside, LLC
- Address
- 684 Sixes Road, Suite 265, Holly Springs, GA 30115
- Phone
- (678) 553-8684
- Fax
- (678) 781-3025
Annual test volume the lab reported
- Waived tests
- 1,134
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Holly Springs, GA
- NW Ga Oncology CTR A Service of Wellstar Cobb HospCertificate of Accreditation, Other11D2205217
- Northside Cherokee Pediatrics Holly SpringsCertificate of Waiver, Physician office11D2049293
- 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 Laureate Medical Group Northside, LLC in Holly Springs?
11D2071920, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Laureate Medical Group Northside, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2071920 expire?
The CMS file lists January 21, 2028 as the certificate expiration date; the certificate took effect January 22, 2026.