CLIA lab
CLIA 11D2161206: Northside - Primary Care of Brookhaven
Brookhaven, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2161206 belongs to Northside - Primary Care of Brookhaven in Brookhaven, GA.
Certificate for Provider-Performed Microscopy Procedures, effective May 4, 2025, expires May 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- May 4, 2025
- Certificate expiration
- May 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 29, 2019
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 11D2161206
- Lab name
- Northside - Primary Care of Brookhaven
- Address
- 4062 Peachtree Road, Suite C, Brookhaven, GA 30319
- Phone
- (404) 365-6500
- Fax
- (404) 365-6501
Annual test volume the lab reported
- Waived tests
- 1,600
- Provider-performed microscopy tests
- 100
- Total
- 1,700
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
- Intown Pediatric & Adolescent Medicine, PCCertificate of Waiver, Physician office11D2135382
- Mend Primary CareCertificate of Waiver, Physician office11D2344432
- Moultrie Medical PCCertificate of Waiver, Physician office11D2290537
- North Dekalb County VA ClinicCertificate of Accreditation, Community clinic11D2183601
Related
Questions
What is the CLIA number for Northside - Primary Care of Brookhaven in Brookhaven?
11D2161206, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northside - Primary Care of Brookhaven hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D2161206 expire?
The CMS file lists May 3, 2027 as the certificate expiration date; the certificate took effect May 4, 2025.