CLIA lab
CLIA 11D2330484: Northside Primary Care Smyrna
Smyrna, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2330484 belongs to Northside Primary Care Smyrna in Smyrna, GA.
Certificate for Provider-Performed Microscopy Procedures, effective September 17, 2025, expires September 16, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 17, 2025
- Certificate expiration
- September 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 17, 2025
- 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
- 11D2330484
- Lab name
- Northside Primary Care Smyrna
- Address
- 4298 Atlanta Road, Suite 110, Smyrna, GA 30080
- Phone
- (678) 505-4901
- Fax
- (678) 505-4902
Annual test volume the lab reported
- Waived tests
- 75
- Provider-performed microscopy tests
- 20
- Total
- 95
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 Primary Care Smyrna in Smyrna?
11D2330484, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northside Primary Care Smyrna hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D2330484 expire?
The CMS file lists September 16, 2027 as the certificate expiration date; the certificate took effect September 17, 2025.