CLIA lab
CLIA 11D2125685: Dacula Pediatrics
Dacula, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2125685 belongs to Dacula Pediatrics in Dacula, GA.
Certificate of Waiver, effective February 13, 2025, expires February 12, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- February 13, 2025
- Certificate expiration
- February 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 13, 2017
- 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
- 11D2125685
- Lab name
- Dacula Pediatrics
- Address
- 3625 Braselton Highway, Suite 202, Dacula, GA 30019
- Phone
- (470) 655-7166
- Fax
- (470) 238-3222
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 Dacula, GA
- A Heart of A NurseCertificate of Waiver, Mobile lab11D2299495
- Advanced Dermatology of GeorgiaCertificate for Provider-Performed Microscopy Procedures, Physician office11D2050149
- Alana Recovery Centers, LLC DBA Promises AtlCertificate of Waiver, Other11D2313468
- Align Mobile Medical Services LLCCertificate of Waiver, Other11D2268547
- Arbor Terrace at Hamilton MillCertificate of Waiver, Assisted living facility11D2107688
- Ball PediatricsCertificate of Waiver, Physician office11D0995408
- Bio-Medical Applications of Georgia, IncCertificate of Waiver, End stage renal disease dialysis facility11D2118758
- Burgeon MedixCertificate of Waiver, Mobile lab11D2339742
- Children's at Hamilton Creek Urgent Care LabCertificate of Accreditation, Other11D2128348
- Cornerstone PediatricsCertificate of Waiver, Physician office11D2141641
Related
Questions
What is the CLIA number for Dacula Pediatrics in Dacula?
11D2125685, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dacula Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2125685 expire?
The CMS file lists February 12, 2027 as the certificate expiration date; the certificate took effect February 13, 2025.