CLIA lab

CLIA 11D2180904: Northside Cardiovascular Institute-Canton

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

CLIA number 11D2180904 belongs to Northside Cardiovascular Institute-Canton in Canton, GA.

Certificate of Waiver, effective March 23, 2026, expires March 22, 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
March 23, 2026
Certificate expiration
March 22, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 23, 2020
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
11D2180904
Lab name
Northside Cardiovascular Institute-Canton
Address
470 Northside Cherokee Boulevard Suite 480, Canton, GA 30115
Phone
(404) 962-6070
Fax
(404) 962-6071

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.

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Related

Questions

What is the CLIA number for Northside Cardiovascular Institute-Canton in Canton?

11D2180904, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Northside Cardiovascular Institute-Canton hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2180904 expire?

The CMS file lists March 22, 2028 as the certificate expiration date; the certificate took effect March 23, 2026.

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