CLIA lab
CLIA 11D1009485: Georgia Dermatology & Skin Cancer Center, LLC
Douglas, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1009485 belongs to Georgia Dermatology & Skin Cancer Center, LLC in Douglas, GA.
Certificate for Provider-Performed Microscopy Procedures, effective February 17, 2025, expires February 16, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- February 17, 2025
- Certificate expiration
- February 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 17, 2003
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D1009485
- Lab name
- Georgia Dermatology & Skin Cancer Center, LLC
- Additional name
- Douglas
- Address
- 110 Bowens Mill Road, Douglas, GA 31533
- Phone
- (912) 384-3204
- Fax
- (912) 384-9346
Annual test volume the lab reported
- Waived tests
- 100
- Provider-performed microscopy tests
- 100
- Total
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Douglas, GA
- Air Evac 090Certificate of Waiver, Ambulance11D2003613
- Amin Surgery Center for Women LLCCertificate of Waiver, Ambulatory surgery center11D2189371
- Bariatric and Metabolic CenterCertificate of Waiver, Physician office11D2200382
- CRH Cardiology Group - WaycrossCertificate of Waiver, Physician office11D2229210
- CRH Family Medicine GroupCertificate for Provider-Performed Microscopy Procedures, Physician office11D2108872
- CRH Family Medicine Group - AbrahamCertificate of Waiver, Physician office11D2200138
- CRH Family PracticeCertificate of Waiver, Physician office11D2069114
- CRH Industrial MedicineCertificate of Waiver, Physician office11D2026293
- CRH Internal Medicine Residency ClinicCertificate of Waiver, Physician office11D1098856
- CRH Mobile ClinicCertificate of Waiver, Physician office11D2139253
Related
Questions
What is the CLIA number for Georgia Dermatology & Skin Cancer Center, LLC in Douglas?
11D1009485, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Georgia Dermatology & Skin Cancer Center, LLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D1009485 expire?
The CMS file lists February 16, 2027 as the certificate expiration date; the certificate took effect February 17, 2025.