CLIA lab
CLIA 11D0950417: Advanced Dermatology
Douglasville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0950417 belongs to Advanced Dermatology in Douglasville, GA.
Certificate of Compliance, effective February 15, 2025, expires February 14, 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
- February 15, 2025
- Certificate expiration
- February 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 25, 1998
- 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
- 11D0950417
- Lab name
- Advanced Dermatology
- Address
- 4904 Timber Ridge Dr Suite 101, Douglasville, GA 30135
- Phone
- (770) 739-7546
Annual test volume the lab reported
- Other nonwaived tests
- 152
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- American Clinical Trials, LLCCertificate of Waiver, Physician office11D2281517
- American Health Imaging DouglasvilleCertificate of Waiver, Other11D2167098
- American National Red Cross, theCertificate of Accreditation, Blood bank11D0699333
- American National Red Cross, theCertificate of Waiver, Blood bank11D0883367
- Arbor Place DialysisCertificate of Waiver, End stage renal disease dialysis facility11D1091874
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- Ascon Solutions Logistics and Advisory LLCCertificate of Waiver, Independent11D2349425
Related
Questions
What is the CLIA number for Advanced Dermatology in Douglasville?
11D0950417, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Advanced Dermatology hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 11D0950417 expire?
The CMS file lists February 14, 2027 as the certificate expiration date; the certificate took effect February 15, 2025.