CLIA lab
CLIA 11D2082686: Northside Holly Springs Radiology
Holly Springs, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2082686 belongs to Northside Holly Springs Radiology in Holly Springs, GA.
Certificate of Waiver, effective August 20, 2026, expires August 19, 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
- August 20, 2026
- Certificate expiration
- August 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 20, 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
- 11D2082686
- Lab name
- Northside Holly Springs Radiology
- Address
- 684 Sixes Road, Holly Springs, GA 30115
- Phone
- (678) 388-5460
- Fax
- (678) 388-5461
Annual test volume the lab reported
- Waived tests
- 500
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 Northside Holly Springs Radiology in Holly Springs?
11D2082686, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northside Holly Springs Radiology hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2082686 expire?
The CMS file lists August 19, 2028 as the certificate expiration date; the certificate took effect August 20, 2026.