CLIA lab
CLIA 11D2080955: Northside Medlock Medical
Johns Creek, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2080955 belongs to Northside Medlock Medical in Johns Creek, GA.
Certificate of Waiver, effective July 17, 2026, expires July 16, 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
- July 17, 2026
- Certificate expiration
- July 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 17, 2014
- Facility type
- Other
- 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
- 11D2080955
- Lab name
- Northside Medlock Medical
- Address
- 11459 Johns Creek Pkwy Ste 120, Johns Creek, GA 30097
- Phone
- (678) 584-2211
- Fax
- (678) 584-2211
Annual test volume the lab reported
- Waived tests
- 260
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Johns Creek, GA
- Advanced Plastic Surgery SolutionsCertificate of Waiver, Physician office11D1100640
- Advanced Urology Institute of Georgia Johns CreekCertificate of Waiver, Physician office11D2118827
- Alcon Johns CreekCertificate of Waiver, Other11D2246500
- Alto Johns CreekCertificate of Waiver, Assisted living facility11D2318406
- American Oncology Partners, PACertificate of Accreditation, Physician office11D2259390
- Atlanta General and Bariatric Surgery CenterCertificate of Waiver, Ambulatory surgery center11D2057887
- Baucom & Mina Derm Surgery, LLCCertificate of Compliance, Ambulatory surgery center11D2180746
- Boston ScientificCertificate of Waiver, Health fair11D2334169
- Centre Spring MDCertificate for Provider-Performed Microscopy Procedures, Physician office11D2122980
- Cleaver Medical Group Dermatology IncCertificate of Waiver, Physician office11D2262534
Related
Questions
What is the CLIA number for Northside Medlock Medical in Johns Creek?
11D2080955, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northside Medlock Medical hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2080955 expire?
The CMS file lists July 16, 2028 as the certificate expiration date; the certificate took effect July 17, 2026.