CLIA lab
CLIA 11D2135382: Intown Pediatric & Adolescent Medicine, PC
Brookhaven, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2135382 belongs to Intown Pediatric & Adolescent Medicine, PC in Brookhaven, GA.
Certificate of Waiver, effective August 22, 2025, expires August 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
- August 22, 2025
- Certificate expiration
- August 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 22, 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
- 11D2135382
- Lab name
- Intown Pediatric & Adolescent Medicine, PC
- Address
- 705 Town Blvd, NE, Suite S560, Brookhaven, GA 30319
- Phone
- (404) 446-4726
- Fax
- (404) 446-4727
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Brookhaven, GA
- Brookhaven Lifestance HealthCertificate of Waiver, Physician office11D2274412
- Fp-Peachtree Immediate Care-BhnCertificate of Waiver, Physician office11D2148274
- Georgia CVS Pharmacy, LLC DBA Cvs/Pharmacy #02083Certificate of Waiver, Pharmacy11D2282547
- Georgia Dermatology PartnersCertificate of Compliance, Physician office11D2166267
- Glenn Family Wellness CenterCertificate of Waiver, Other11D1032109
- Intown Pediatric & Adolescent Medicine, PCCertificate of Waiver, Physician office11D2133990
- Mend Primary CareCertificate of Waiver, Physician office11D2344432
- Moultrie Medical PCCertificate of Waiver, Physician office11D2290537
- North Dekalb County VA ClinicCertificate of Accreditation, Community clinic11D2183601
- Northside - Primary Care of BrookhavenCertificate for Provider-Performed Microscopy Procedures, Physician office11D2161206
Related
Questions
What is the CLIA number for Intown Pediatric & Adolescent Medicine, PC in Brookhaven?
11D2135382, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Intown Pediatric & Adolescent Medicine, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2135382 expire?
The CMS file lists August 21, 2027 as the certificate expiration date; the certificate took effect August 22, 2025.