CLIA lab
CLIA 11D2265740: Centro Medico San Antonio
Norcross, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2265740 belongs to Centro Medico San Antonio in Norcross, GA.
Certificate of Waiver, effective August 2, 2026, expires August 1, 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
- August 2, 2026
- Certificate expiration
- August 1, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 2, 2022
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 11D2265740
- Lab name
- Centro Medico San Antonio
- Address
- 5139 Jimmy Carter Boulevard, Suite 203, Norcross, GA 30093
- Phone
- (770) 885-9684
- Fax
- (470) 225-2256
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Angelic Arms Home HospiceCertificate of Waiver, Hospice11D2101840
- Atlanta Adult Day Health Care CenterCertificate of Waiver, Other11D1088889
- Atlanta Liposuction Specialty ClinicCertificate of Waiver, Physician office11D2227665
- Atlas Ambulance IncCertificate of Waiver, Ambulance11D2273915
- BPC Plasma, Inc - NorcrossCertificate of Accreditation, Other11D1099655
- Bpsos Community ClinicCertificate for Provider-Performed Microscopy Procedures, Community clinic11D2271674
- Buford-Norcross Primary Care PCCertificate for Provider-Performed Microscopy Procedures, Physician office11D0962280
Related
Questions
What is the CLIA number for Centro Medico San Antonio in Norcross?
11D2265740, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Centro Medico San Antonio hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2265740 expire?
The CMS file lists August 1, 2028 as the certificate expiration date; the certificate took effect August 2, 2026.