CLIA lab

CLIA 11D2257814: Northeast Atlanta Ear Nose & Throat

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

CLIA number 11D2257814 belongs to Northeast Atlanta Ear Nose & Throat in Dacula, GA.

Certificate of Waiver, effective April 12, 2026, expires April 11, 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
April 12, 2026
Certificate expiration
April 11, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 12, 2022
Facility type
Physician office
Ownership (control type)
Proprietary
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
11D2257814
Lab name
Northeast Atlanta Ear Nose & Throat
Address
2089 Teron Trace Suite 215, Dacula, GA 30019
Phone
(770) 237-3000
Fax
(770) 237-5530

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 Dacula, GA

Related

Questions

What is the CLIA number for Northeast Atlanta Ear Nose & Throat in Dacula?

11D2257814, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Northeast Atlanta Ear Nose & Throat hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2257814 expire?

The CMS file lists April 11, 2028 as the certificate expiration date; the certificate took effect April 12, 2026.

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