CLIA lab

CLIA 11D2284603: Mindful Pediatrics & Adolescent Medicine

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

CLIA number 11D2284603 belongs to Mindful Pediatrics & Adolescent Medicine in Johns Creek, GA.

Certificate of Waiver, effective June 27, 2025, expires June 26, 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
June 27, 2025
Certificate expiration
June 26, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 27, 2023
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
11D2284603
Lab name
Mindful Pediatrics & Adolescent Medicine
Address
11705 Jones Bridge Road, Suite A201, Johns Creek, GA 30005
Phone
(770) 746-7113
Fax
(770) 766-8071

Annual test volume the lab reported

Waived tests
600

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 Mindful Pediatrics & Adolescent Medicine in Johns Creek?

11D2284603, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mindful Pediatrics & Adolescent Medicine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2284603 expire?

The CMS file lists June 26, 2027 as the certificate expiration date; the certificate took effect June 27, 2025.

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