CLIA lab
CLIA 11D0979163: Dermatology Center of Atlanta
Duluth, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0979163 belongs to Dermatology Center of Atlanta in Duluth, GA.
Certificate of Waiver, effective October 1, 2026, expires September 30, 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
- October 1, 2026
- Certificate expiration
- September 30, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 16, 2000
- 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
- 11D0979163
- Lab name
- Dermatology Center of Atlanta
- Address
- 9900 Medlock Bridge Road, Duluth, GA 30097
- Phone
- (770) 497-0699
- Fax
- (770) 497-0388
Annual test volume the lab reported
- Waived tests
- 130
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Albert F Johary MDCertificate of Waiver, Physician office11D1012844
- Align Spine and Joint Specialists, LLCCertificate of Waiver, Physician office11D2331955
- Allcare Ga DuluthCertificate of Waiver, Physician office11D2322656
- Any Lab TestCertificate of Waiver, Independent11D1079765
- Ascend Medical Georgia, PCCertificate of Waiver, Physician office11D2071807
- Atlanta Internal Medicine PCCertificate of Waiver, Physician office11D2092651
- Atlanta Metro PCCertificate of Registration, Physician office11D2339249
Related
Questions
What is the CLIA number for Dermatology Center of Atlanta in Duluth?
11D0979163, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dermatology Center of Atlanta hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D0979163 expire?
The CMS file lists September 30, 2028 as the certificate expiration date; the certificate took effect October 1, 2026.