CLIA lab
CLIA 11D2095067: Southeast Dermatology Specialists
Douglasville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2095067 belongs to Southeast Dermatology Specialists in Douglasville, GA.
Certificate of Compliance, effective January 27, 2026, expires January 26, 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 of Compliance
- Certificate effective
- January 27, 2026
- Certificate expiration
- January 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 29, 2015
- 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
- 11D2095067
- Lab name
- Southeast Dermatology Specialists
- Address
- 4645 Timber Ridge Drive Suite 100, Douglasville, GA 30135
- Phone
- (678) 702-3376
- Fax
- (678) 909-0446
Annual test volume the lab reported
- Other nonwaived tests
- 13,480
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Douglasville, GA
- Advanced DermatologyCertificate of Compliance, Physician office11D0950417
- Aga, LLCCertificate of Waiver, Physician office11D1043408
- Amedisys Georgia LLCCertificate of Waiver, Home health agency11D0672010
- American Clinical Trials, LLCCertificate of Waiver, Physician office11D2281517
- American Health Imaging DouglasvilleCertificate of Waiver, Other11D2167098
- American National Red Cross, theCertificate of Accreditation, Blood bank11D0699333
- American National Red Cross, theCertificate of Waiver, Blood bank11D0883367
- Arbor Place DialysisCertificate of Waiver, End stage renal disease dialysis facility11D1091874
- Arbor Place Family Medicine PCCertificate of Waiver, Physician office11D1036452
- Ariel Community Care, LLCCertificate of Waiver, Other practitioner11D2169939
Related
Questions
What is the CLIA number for Southeast Dermatology Specialists in Douglasville?
11D2095067, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southeast Dermatology Specialists hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 11D2095067 expire?
The CMS file lists January 26, 2028 as the certificate expiration date; the certificate took effect January 27, 2026.