CLIA lab
CLIA 11D2174471: Northside Cardiovascular Institute - Lawrenceville
Lawrenceville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2174471 belongs to Northside Cardiovascular Institute - Lawrenceville in Lawrenceville, GA.
Certificate of Waiver, effective November 1, 2025, expires October 31, 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 1, 2025
- Certificate expiration
- October 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 1, 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
- 11D2174471
- Lab name
- Northside Cardiovascular Institute - Lawrenceville
- Address
- 2200 Medical Center Blvd, Suite 200, Lawrenceville, GA 30046
- Phone
- (404) 962-6000
- Fax
- (404) 962-6001
Annual test volume the lab reported
- Waived tests
- 500
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 Northside Cardiovascular Institute - Lawrenceville in Lawrenceville?
11D2174471, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northside Cardiovascular Institute - Lawrenceville hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2174471 expire?
The CMS file lists October 31, 2027 as the certificate expiration date; the certificate took effect November 1, 2025.