CLIA lab

CLIA 11D2059751: Surgical & Cosmetic Dermatology, PC

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

CLIA number 11D2059751 belongs to Surgical & Cosmetic Dermatology, PC in Lagrange, GA.

Certificate of Compliance, effective November 15, 2025, expires November 14, 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
November 15, 2025
Certificate expiration
November 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 30, 2013
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
11D2059751
Lab name
Surgical & Cosmetic Dermatology, PC
Address
1075 Lafayette Parkway, Suite 240, Lagrange, GA 30241
Phone
(770) 400-8400
Fax
(770) 400-8401

Annual test volume the lab reported

Waived tests
400
Other nonwaived tests
700
Total
1,100

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

Affiliated CLIA numbers

Other labs in Lagrange, GA

Related

Questions

What is the CLIA number for Surgical & Cosmetic Dermatology, PC in Lagrange?

11D2059751, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Surgical & Cosmetic Dermatology, PC hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 11D2059751 expire?

The CMS file lists November 14, 2027 as the certificate expiration date; the certificate took effect November 15, 2025.

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