CLIA lab
CLIA 11D2335458: Northside Primary Care Bethlehem
Bethlehem, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2335458 belongs to Northside Primary Care Bethlehem in Bethlehem, GA.
Certificate of Waiver, effective December 11, 2025, expires December 10, 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
- December 11, 2025
- Certificate expiration
- December 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 11, 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
- 11D2335458
- Lab name
- Northside Primary Care Bethlehem
- Address
- 426 Exchange Blvd, Suite 600, Bethlehem, GA 30620
- Phone
- (470) 429-5285
- Fax
- (470) 429-5301
Annual test volume the lab reported
- Waived tests
- 100
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 Bethlehem in Bethlehem?
11D2335458, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northside Primary Care Bethlehem hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2335458 expire?
The CMS file lists December 10, 2027 as the certificate expiration date; the certificate took effect December 11, 2025.