CLIA lab
CLIA 11D2177430: Northside Cardiovasular Institute-Braselton
Braselton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2177430 belongs to Northside Cardiovasular Institute-Braselton in Braselton, GA.
Certificate of Waiver, effective January 10, 2026, expires January 9, 2028.
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
- January 10, 2026
- Certificate expiration
- January 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 10, 2020
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2177430
- Lab name
- Northside Cardiovasular Institute-Braselton
- Address
- 1255 Friendship Road Suite 240, Braselton, GA 30517
- Phone
- (404) 962-6000
- Fax
- (404) 962-6001
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Braselton, GA
- Advanced Urology Institute of Georgia, PCCertificate of Waiver, Physician office11D2187174
- Allcare Ga BraseltonCertificate of Waiver, Physician office11D2325623
- Braselton ASC, LLCCertificate of Waiver, Ambulatory surgery center11D2279255
- Braselton DialysisCertificate of Waiver, End stage renal disease dialysis facility11D2116766
- Braselton Urgent CareCertificate of Waiver, Other11D2159943
- Cardiovasculatr Clinic of North GeorgiaCertificate of Waiver, Physician office11D2341756
- Classic EMS IncCertificate of Waiver, Ambulance11D2305163
- Diamond Nourish LLCCertificate of Waiver, Other11D2330255
- FP- Peachtree Immediate Care (BRS)Certificate of Waiver, Physician office11D2324637
- Family Practice CenterCertificate for Provider-Performed Microscopy Procedures, Physician office11D2307208
Related
Questions
What is the CLIA number for Northside Cardiovasular Institute-Braselton in Braselton?
11D2177430, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northside Cardiovasular Institute-Braselton hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2177430 expire?
The CMS file lists January 9, 2028 as the certificate expiration date; the certificate took effect January 10, 2026.