CLIA lab

CLIA 11D2047854: Georgia Dermatology & Skin Cancer Center, LLC

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

CLIA number 11D2047854 belongs to Georgia Dermatology & Skin Cancer Center, LLC in Jesup, GA.

Certificate for Provider-Performed Microscopy Procedures, effective October 4, 2026, expires October 3, 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
October 4, 2026
Certificate expiration
October 3, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 4, 2012
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
11D2047854
Lab name
Georgia Dermatology & Skin Cancer Center, LLC
Address
980 South First Street, Jesup, GA 31545
Phone
(912) 427-4267
Fax
(912) 559-6238

Annual test volume the lab reported

Provider-performed microscopy tests
50

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 Georgia Dermatology & Skin Cancer Center, LLC in Jesup?

11D2047854, 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 11D2047854 expire?

The CMS file lists October 3, 2028 as the certificate expiration date; the certificate took effect October 4, 2026.

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