CLIA lab
CLIA 11D1074084: Georgia Mountain Dermatology, LLC
Jasper, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1074084 belongs to Georgia Mountain Dermatology, LLC in Jasper, GA.
Certificate for Provider-Performed Microscopy Procedures, effective August 1, 2026, expires July 31, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- August 1, 2026
- Certificate expiration
- July 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 24, 2007
- 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
- 11D1074084
- Lab name
- Georgia Mountain Dermatology, LLC
- Address
- 150 Interstate South Drive Suite 100, Jasper, GA 30143
- Phone
- (706) 253-3376
- Fax
- (706) 253-3223
Annual test volume the lab reported
- Waived tests
- 100
- Provider-performed microscopy tests
- 70
- Total
- 170
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jasper, GA
- Advanced Urology Institute of Georgia, LLCCertificate of Waiver, Physician office11D2318645
- Airlife ThreeCertificate of Waiver, Ambulance11D2020272
- Amedisys Northwest, LLCCertificate of Waiver, Home health agency11D0695853
- Appalachian Hospice South, LLCCertificate of Waiver, Hospice11D2288607
- Aqua Dermatology of Georgia, PCCertificate of Waiver, Physician office11D2348693
- Big Canoe Public SafetyCertificate of Waiver, Other11D2198893
- City of Jasper Fire DepartmentCertificate of Waiver, Other11D2288324
- Digestive Healthcare of GeorgiaCertificate of Waiver, Physician office11D2120245
- Digestive Healthcare of Georgia Endoscopy CenterCertificate of Waiver, Ambulatory surgery center11D1091226
- Dragon Care/ Good Samaritan HealthCertificate of Waiver, Federally qualified health center11D2328077
Related
Questions
What is the CLIA number for Georgia Mountain Dermatology, LLC in Jasper?
11D1074084, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Georgia Mountain Dermatology, LLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D1074084 expire?
The CMS file lists July 31, 2028 as the certificate expiration date; the certificate took effect August 1, 2026.