CLIA lab
CLIA 11D2339742: Burgeon Medix
Dacula, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2339742 belongs to Burgeon Medix in Dacula, GA.
Certificate of Waiver, effective March 6, 2026, expires March 5, 2028.
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
- March 6, 2026
- Certificate expiration
- March 5, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 6, 2026
- Facility type
- Mobile lab
- 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
- 11D2339742
- Lab name
- Burgeon Medix
- Address
- 2665 Ridge Manor Drive, SE, Dacula, GA 30019
- Phone
- (470) 469-1945
Annual test volume the lab reported
- Waived tests
- 300
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 Burgeon Medix in Dacula?
11D2339742, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Burgeon Medix hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2339742 expire?
The CMS file lists March 5, 2028 as the certificate expiration date; the certificate took effect March 6, 2026.