CLIA lab
CLIA 11D0991500: Dermatology Specialists of West Ga
Carrollton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D0991500 belongs to Dermatology Specialists of West Ga in Carrollton, GA.
Certificate of Compliance, effective February 28, 2025, expires February 27, 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 28, 2025
- Certificate expiration
- February 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 21, 2001
- 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
- 11D0991500
- Lab name
- Dermatology Specialists of West Ga
- Address
- 601 Dixie Street, Carrollton, GA 30117
- Phone
- (770) 838-9333
- Fax
- (770) 838-7755
Annual test volume the lab reported
- Other nonwaived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 3 16 Family Medicine- CarrolltonCertificate of Waiver, Physician office11D2229102
- 3 16 Kids Corner- CarrolltonCertificate of Waiver, Physician office11D2342098
- Air Evac EMS, Inc Air Evac #112Certificate of Waiver, Ambulance11D2065712
- Arrow PharmacyCertificate of Waiver, Pharmacy11D2236221
- Associated Pathologist, LLC DBA Pathgroup (Tanner)Certificate of Accreditation, Independent11D2272308
- Barclay House of CarrolltonCertificate of Waiver, Assisted living facility11D2195399
- Brookdale CarrolltonCertificate of Waiver, Assisted living facility11D0982207
- Carroll County Child Advocacy Center IncCertificate of Waiver, Other11D2306882
- Carroll County JailCertificate of Waiver, Other11D1001632
Related
Questions
What is the CLIA number for Dermatology Specialists of West Ga in Carrollton?
11D0991500, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dermatology Specialists of West Ga hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 11D0991500 expire?
The CMS file lists February 27, 2027 as the certificate expiration date; the certificate took effect February 28, 2025.