CLIA lab
CLIA 11D2075618: Epiphany Dermatology of Georgia, LLC
Peachtree City, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2075618 belongs to Epiphany Dermatology of Georgia, LLC in Peachtree City, GA.
Certificate for Provider-Performed Microscopy Procedures, effective August 24, 2026, expires August 23, 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 24, 2026
- Certificate expiration
- August 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 1, 2014
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2075618
- Lab name
- Epiphany Dermatology of Georgia, LLC
- Address
- 1975 Hwy 54 West, Suite 250, Peachtree City, GA 30269
- Phone
- (770) 251-5111
- Fax
- (770) 251-6044
Annual test volume the lab reported
- Waived tests
- 100
- Provider-performed microscopy tests
- 150
- Total
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Peachtree City, GA
- Ageless Wellness CenterCertificate of Registration, Physician office11D1082092
- All Starr PediatricsCertificate of Waiver, Physician office11D2118632
- Allergy Sinus and Cough Center - Freedom AllergyCertificate of Waiver, Physician office11D2171237
- Alliance Surgery Center at Peachtree CityCertificate of Waiver, Ambulatory surgery center11D2197336
- Arise Behavioral HealthCertificate of Waiver, Other11D2239376
- Byron F Harper III MD PCCertificate of Waiver, Physician office11D1036157
- Center for Allergy and Asthma of GeorgiaCertificate of Waiver, Physician office11D1083694
- Chmg of Griffin Inc DBA Centerwell Home HealthCertificate of Waiver, Home health agency11D1010216
- Emory at Peachtree CityCertificate of Waiver, Physician office11D0716519
- Epiphany Dermatology of Georgia, LLCCertificate of Registration, Physician office11D2349859
Related
Questions
What is the CLIA number for Epiphany Dermatology of Georgia, LLC in Peachtree City?
11D2075618, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Epiphany Dermatology of Georgia, LLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D2075618 expire?
The CMS file lists August 23, 2028 as the certificate expiration date; the certificate took effect August 24, 2026.