CLIA lab

CLIA 11D2128624: Eastside Endoscopy Center, LLC

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

CLIA number 11D2128624 belongs to Eastside Endoscopy Center, LLC in Conyers, GA.

Certificate of Waiver, effective April 4, 2025, expires April 3, 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 4, 2025
Certificate expiration
April 3, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 4, 2017
Facility type
Ambulatory surgery center
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
11D2128624
Lab name
Eastside Endoscopy Center, LLC
Address
1805 Honey Creek Commons, Conyers, GA 30013
Phone
(770) 922-7000
Fax
(770) 809-3667

Annual test volume the lab reported

Waived tests
225

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 Eastside Endoscopy Center, LLC in Conyers?

11D2128624, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Eastside Endoscopy Center, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2128624 expire?

The CMS file lists April 3, 2027 as the certificate expiration date; the certificate took effect April 4, 2025.

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