CLIA lab
CLIA 11D2094735: Northside Hospital, Inc -Mang Ball Ground
Ball Ground, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2094735 belongs to Northside Hospital, Inc -Mang Ball Ground in Ball Ground, GA.
Certificate of Waiver, effective April 22, 2025, expires April 21, 2027.
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
- April 22, 2025
- Certificate expiration
- April 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 22, 2015
- 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
- 11D2094735
- Lab name
- Northside Hospital, Inc -Mang Ball Ground
- Address
- 470 Valley Street, Suite 200, Ball Ground, GA 30107
- Phone
- (770) 373-2770
- Fax
- (770) 737-2406
Annual test volume the lab reported
- Waived tests
- 15,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Ball Ground, GA
Related
Questions
What is the CLIA number for Northside Hospital, Inc -Mang Ball Ground in Ball Ground?
11D2094735, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northside Hospital, Inc -Mang Ball Ground hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2094735 expire?
The CMS file lists April 21, 2027 as the certificate expiration date; the certificate took effect April 22, 2025.