CLIA lab

CLIA 11D2315954: Northside Primary Care Foothills

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

CLIA number 11D2315954 belongs to Northside Primary Care Foothills in Marble Hill, GA.

Certificate of Waiver, effective December 23, 2024, expires December 22, 2026.

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
December 23, 2024
Certificate expiration
December 22, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 23, 2024
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
11D2315954
Lab name
Northside Primary Care Foothills
Address
25 Foothills Parkway, Suite 108, Marble Hill, GA 30148
Phone
(770) 292-3710
Fax
(404) 531-6205

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.

Related

Questions

What is the CLIA number for Northside Primary Care Foothills in Marble Hill?

11D2315954, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Northside Primary Care Foothills hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2315954 expire?

The CMS file lists December 22, 2026 as the certificate expiration date; the certificate took effect December 23, 2024.

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