CLIA lab
CLIA 11D1096403: Johns Creek Dermatology and Family Medicine PC
Duluth, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D1096403 belongs to Johns Creek Dermatology and Family Medicine PC in Duluth, GA.
Certificate of Compliance, effective October 3, 2025, expires October 2, 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
- October 3, 2025
- Certificate expiration
- October 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 4, 2009
- 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
- 11D1096403
- Lab name
- Johns Creek Dermatology and Family Medicine PC
- Address
- 6300 Hospital Parkway Suite 100, Duluth, GA 30097
- Phone
- (770) 771-6591
- Fax
- (770) 771-6599
Annual test volume the lab reported
- Waived tests
- 150
- Provider-performed microscopy tests
- 125
- Other nonwaived tests
- 275
- Total
- 550
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 Johns Creek Dermatology and Family Medicine PC in Duluth?
11D1096403, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Johns Creek Dermatology and Family Medicine PC hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 11D1096403 expire?
The CMS file lists October 2, 2027 as the certificate expiration date; the certificate took effect October 3, 2025.