CLIA lab
CLIA 11D2081546: Northside Windermere Medical Clinic
Canton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2081546 belongs to Northside Windermere Medical Clinic in Canton, GA.
Certificate of Waiver, effective July 28, 2026, expires July 27, 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 28, 2026
- Certificate expiration
- July 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 28, 2014
- Facility type
- Physician office
- 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
- 11D2081546
- Lab name
- Northside Windermere Medical Clinic
- Address
- 200 Eagles Nest Drive, Suite 300D, Canton, GA 30115
- Phone
- (678) 455-3200
- Fax
- (770) 888-9998
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Advanced Urology Institute of Georgia, LLCCertificate of Waiver, Physician office11D2186854
- Aga, LLCCertificate of Waiver, Physician office11D2138139
- Ahs Surgery Center Canton, LLCCertificate of Waiver, Ambulatory surgery center11D2076515
- American Health Imaging of CantonCertificate of Waiver, Independent11D2075795
- Aqua Dermatology of Georgia, PCCertificate of Registration, Physician office11D2312115
- Atlanta Cancer Care Canton OfficeCertificate of Accreditation, Physician office11D2129965
- Atlanta North Dermatology & Skin CareCertificate of Registration, Physician office11D2324304
- Aylo Health - CantonCertificate of Accreditation, Physician office11D2290810
- Aylo Health - Hickory FlatCertificate of Accreditation, Physician office11D2316749
Related
Questions
What is the CLIA number for Northside Windermere Medical Clinic in Canton?
11D2081546, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northside Windermere Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2081546 expire?
The CMS file lists July 27, 2028 as the certificate expiration date; the certificate took effect July 28, 2026.