CLIA lab
CLIA 11D2336004: Northside - Georgia Gynecologic Oncology
Braselton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2336004 belongs to Northside - Georgia Gynecologic Oncology in Braselton, GA.
Certificate of Waiver, effective December 22, 2025, expires December 21, 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 22, 2025
- Certificate expiration
- December 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 22, 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
- 11D2336004
- Lab name
- Northside - Georgia Gynecologic Oncology
- Additional name
- (Braselton)
- Address
- 1255 Friendship Road, Suite 120, Braselton, GA 30517
- Phone
- (678) 442-3121
- Fax
- (678) 376-4045
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.
Other labs in Braselton, GA
- Advanced Urology Institute of Georgia, PCCertificate of Waiver, Physician office11D2187174
- Allcare Ga BraseltonCertificate of Waiver, Physician office11D2325623
- Braselton ASC, LLCCertificate of Waiver, Ambulatory surgery center11D2279255
- Braselton DialysisCertificate of Waiver, End stage renal disease dialysis facility11D2116766
- Braselton Urgent CareCertificate of Waiver, Other11D2159943
- Cardiovasculatr Clinic of North GeorgiaCertificate of Waiver, Physician office11D2341756
- Classic EMS IncCertificate of Waiver, Ambulance11D2305163
- Diamond Nourish LLCCertificate of Waiver, Other11D2330255
- FP- Peachtree Immediate Care (BRS)Certificate of Waiver, Physician office11D2324637
- Family Practice CenterCertificate for Provider-Performed Microscopy Procedures, Physician office11D2307208
Related
Questions
What is the CLIA number for Northside - Georgia Gynecologic Oncology in Braselton?
11D2336004, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northside - Georgia Gynecologic Oncology hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2336004 expire?
The CMS file lists December 21, 2027 as the certificate expiration date; the certificate took effect December 22, 2025.