CLIA lab

CLIA 11D2139909: Northside - Cardiovascular Group (Lawrenceville)

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

CLIA number 11D2139909 belongs to Northside - Cardiovascular Group (Lawrenceville) in Lawrenceville, GA.

Certificate of Waiver, effective November 13, 2025, expires November 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

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
November 13, 2025
Certificate expiration
November 12, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 13, 2017
Facility type
Physician office
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
6

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D2139909
Lab name
Northside - Cardiovascular Group (Lawrenceville)
Address
2200 Medical Center Blvd, Suite 400, Lawrenceville, GA 30046
Phone
(770) 962-0399
Fax
(770) 590-8084

Annual test volume the lab reported

Waived tests
1,297

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Lawrenceville, GA

Related

Questions

What is the CLIA number for Northside - Cardiovascular Group (Lawrenceville) in Lawrenceville?

11D2139909, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Northside - Cardiovascular Group (Lawrenceville) hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2139909 expire?

The CMS file lists November 12, 2027 as the certificate expiration date; the certificate took effect November 13, 2025.

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