CLIA lab
CLIA 11D0724381: Atlanta West Dermatology PC
Austell, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0724381 belongs to Atlanta West Dermatology PC in Austell, GA.
Certificate of Compliance, effective July 19, 2026, expires July 18, 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 Compliance
- Certificate effective
- July 19, 2026
- Certificate expiration
- July 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- 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
- 11D0724381
- Lab name
- Atlanta West Dermatology PC
- Address
- 1550 Mulkey Road, Austell, GA 30106
- Phone
- (770) 732-1137
- Fax
- (770) 732-2081
Annual test volume the lab reported
- Waived tests
- 528
- Provider-performed microscopy tests
- 84
- Other nonwaived tests
- 961
- Total
- 1,573
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Anderson Mill Center for Nursing and HealingCertificate of Waiver, Skilled nursing or nursing facility11D0668787
- Any Lab TestCertificate of Waiver, Independent11D1079731
- Anytime MD Urgent CareCertificate of Waiver, Physician office11D2132926
- Atlanta Kidney and Hypertension AssociatesCertificate for Provider-Performed Microscopy Procedures, Physician office11D1053467
- Atria MabletonCertificate of Waiver, Assisted living facility11D0993806
- Austell CbocCertificate of Accreditation, Community clinic11D1008807
- Austell Fire and Emergency ServicesCertificate of Waiver, Other11D2197802
Related
Questions
What is the CLIA number for Atlanta West Dermatology PC in Austell?
11D0724381, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Atlanta West Dermatology PC hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 11D0724381 expire?
The CMS file lists July 18, 2028 as the certificate expiration date; the certificate took effect July 19, 2026.