CLIA lab

CLIA 11D2096573: Ga Internal Medicine

Duluth, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D2096573 belongs to Ga Internal Medicine in Duluth, GA.

Certificate of Waiver, effective May 28, 2025, expires May 27, 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
May 28, 2025
Certificate expiration
May 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 28, 2015
Facility type
Physician office
Ownership (control type)
Proprietary
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
11D2096573
Lab name
Ga Internal Medicine
Address
3525 Gwinnett Place Dr, Duluth, GA 30096
Phone
(770) 864-5510
Fax
(770) 864-0539

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.

Other labs in Duluth, GA

Related

Questions

What is the CLIA number for Ga Internal Medicine in Duluth?

11D2096573, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ga Internal Medicine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2096573 expire?

The CMS file lists May 27, 2027 as the certificate expiration date; the certificate took effect May 28, 2025.

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