CLIA lab
CLIA 11D0934752: Fayette Area Dermatology
Fayetteville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0934752 belongs to Fayette Area Dermatology in Fayetteville, GA.
Certificate of Compliance, effective December 19, 2025, expires December 18, 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
- December 19, 2025
- Certificate expiration
- December 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 15, 1997
- 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
- 11D0934752
- Lab name
- Fayette Area Dermatology
- Address
- 450 Lanier Ave West, Fayetteville, GA 30214
- Phone
- (770) 460-8988
- Fax
- (770) 460-0727
Annual test volume the lab reported
- Other nonwaived tests
- 250
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 Fayette Area Dermatology in Fayetteville?
11D0934752, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fayette Area Dermatology hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 11D0934752 expire?
The CMS file lists December 18, 2027 as the certificate expiration date; the certificate took effect December 19, 2025.