CLIA lab
CLIA 11D0906008: Baucom and Mina Derm Surgery, LLC
Atlanta, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0906008 belongs to Baucom and Mina Derm Surgery, LLC in Atlanta, GA.
Certificate of Compliance, effective November 14, 2025, expires November 13, 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 Compliance
- Certificate effective
- November 14, 2025
- Certificate expiration
- November 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 28, 1995
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D0906008
- Lab name
- Baucom and Mina Derm Surgery, LLC
- Address
- 5555 Peachtree Dunwoody Road Suite 206, Atlanta, GA 30342
- Phone
- (404) 844-0496
- Fax
- (404) 844-0499
Annual test volume the lab reported
- Other nonwaived tests
- 1,680
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 Baucom and Mina Derm Surgery, LLC in Atlanta?
11D0906008, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Baucom and Mina Derm Surgery, LLC hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 11D0906008 expire?
The CMS file lists November 13, 2027 as the certificate expiration date; the certificate took effect November 14, 2025.