CLIA lab
CLIA 11D1056969: Advanced Aesthetics
Fayetteville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1056969 belongs to Advanced Aesthetics in Fayetteville, GA.
Certificate of Waiver, effective July 31, 2024, expiration date July 30, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- July 31, 2024
- Certificate expiration
- July 30, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 31, 2006
- Facility type
- Ambulatory surgery center
- 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
- 11D1056969
- Lab name
- Advanced Aesthetics
- Address
- 874 Lanier Ave W Suite 100, Fayetteville, GA 30214
- Phone
- (770) 461-4000
- Fax
- (678) 833-1406
Annual test volume the lab reported
- Waived tests
- 30
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Advanced Aesthetics in Fayetteville?
11D1056969, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Advanced Aesthetics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D1056969 expire?
The CMS file lists July 30, 2026 as the certificate expiration date; the certificate took effect July 31, 2024.