CLIA lab
CLIA 11D2172729: Northside-North Ga O/Gyn Specialists (Canton)
Canton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2172729 belongs to Northside-North Ga O/Gyn Specialists (Canton) in Canton, GA.
Certificate for Provider-Performed Microscopy Procedures, effective September 30, 2025, expires September 29, 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
- September 30, 2025
- Certificate expiration
- September 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 30, 2019
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2172729
- Lab name
- Northside-North Ga O/Gyn Specialists (Canton)
- Address
- 470 Northside Cherokee Blvd, Suite 290, Canton, GA 30115
- Phone
- (770) 721-9420
- Fax
- (770) 721-9421
Annual test volume the lab reported
- Waived tests
- 7,500
- Provider-performed microscopy tests
- 1,250
- Total
- 8,750
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Canton, GA
- Advanced Center for Joint Replacement Cherokee,llcCertificate of Waiver, Ambulatory surgery center11D2310331
- Advanced Urology Institute of Georgia, LLCCertificate of Waiver, Physician office11D2186854
- Aga, LLCCertificate of Waiver, Physician office11D2138139
- Ahs Surgery Center Canton, LLCCertificate of Waiver, Ambulatory surgery center11D2076515
- American Health Imaging of CantonCertificate of Waiver, Independent11D2075795
- Aqua Dermatology of Georgia, PCCertificate of Registration, Physician office11D2312115
- Atlanta Cancer Care Canton OfficeCertificate of Accreditation, Physician office11D2129965
- Atlanta North Dermatology & Skin CareCertificate of Registration, Physician office11D2324304
- Aylo Health - CantonCertificate of Accreditation, Physician office11D2290810
- Aylo Health - Hickory FlatCertificate of Accreditation, Physician office11D2316749
Related
Questions
What is the CLIA number for Northside-North Ga O/Gyn Specialists (Canton) in Canton?
11D2172729, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northside-North Ga O/Gyn Specialists (Canton) hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D2172729 expire?
The CMS file lists September 29, 2027 as the certificate expiration date; the certificate took effect September 30, 2025.