CLIA lab

CLIA 11D1016973: Aqua Dermatology of Georgia , PC

Marietta, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D1016973 belongs to Aqua Dermatology of Georgia , PC in Marietta, GA.

Certificate of Compliance, effective November 17, 2025, expires November 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Compliance
Certificate effective
November 17, 2025
Certificate expiration
November 16, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 15, 2003
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D1016973
Lab name
Aqua Dermatology of Georgia , PC
Address
835 Cogburn Avenue, Marietta, GA 30060
Phone
(678) 738-0122

Annual test volume the lab reported

Waived tests
440
Provider-performed microscopy tests
290
Other nonwaived tests
51,530
Total
52,260

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Marietta, GA

Related

Questions

What is the CLIA number for Aqua Dermatology of Georgia , PC in Marietta?

11D1016973, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Aqua Dermatology of Georgia , PC hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 11D1016973 expire?

The CMS file lists November 16, 2027 as the certificate expiration date; the certificate took effect November 17, 2025.

Try it on your own data today.

Free to start. Most teams are using it the same day.