CLIA lab

CLIA 11D2050149: Advanced Dermatology of Georgia

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

CLIA number 11D2050149 belongs to Advanced Dermatology of Georgia in Dacula, GA.

Certificate for Provider-Performed Microscopy Procedures, effective November 20, 2024, expires November 19, 2026.

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
November 20, 2024
Certificate expiration
November 19, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 20, 2012
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

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

Lab and contact

CLIA number
11D2050149
Lab name
Advanced Dermatology of Georgia
Address
2089 Teron Trace #200, Dacula, GA 30019
Phone
(770) 962-5040
Fax
(470) 238-3079

Annual test volume the lab reported

Waived tests
250
Provider-performed microscopy tests
250
Total
500

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

Affiliated CLIA numbers

Other labs in Dacula, GA

Related

Questions

What is the CLIA number for Advanced Dermatology of Georgia in Dacula?

11D2050149, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Advanced Dermatology of Georgia hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 11D2050149 expire?

The CMS file lists November 19, 2026 as the certificate expiration date; the certificate took effect November 20, 2024.

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