CLIA lab
CLIA 11D2107014: Aqua Dermatology of Georgia, PC
Roswell, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2107014 belongs to Aqua Dermatology of Georgia, PC in Roswell, GA.
Certificate of Compliance, effective September 13, 2025, expires September 12, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- September 13, 2025
- Certificate expiration
- September 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 5, 2016
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 11D2107014
- Lab name
- Aqua Dermatology of Georgia, PC
- Address
- 1357 Hembree Road, Suite 250, Roswell, GA 30076
- Phone
- (770) 754-0787
- Fax
- (770) 775-5890
Annual test volume the lab reported
- Other nonwaived tests
- 26,499
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Roswell, GA
- About You Family MedicineCertificate of Waiver, Physician office11D2285170
- Advanced Gynecology-AlpharettaCertificate of Waiver, Physician office11D2164259
- Advanced Pathology InstituteCertificate of Compliance, Independent11D2193324
- Advanced Urology AlpharettaCertificate of Waiver, Physician office11D2164260
- Aesthetic Speciality CentreCertificate for Provider-Performed Microscopy Procedures, Physician office11D1094207
- Align Spine and Pain Institute, LLCCertificate of Waiver, Physician office11D2265504
- Alpharetta Internal MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office11D0720188
- Alpharetta Roswell Family PracticeCertificate of Waiver, Physician office11D1021772
- Arcpoint Labs of Roswell, GeorgiaCertificate of Waiver, Other11D2209413
- Arthritis & Rheumatology Center PCCertificate of Compliance, Physician office11D2117969
Related
Questions
What is the CLIA number for Aqua Dermatology of Georgia, PC in Roswell?
11D2107014, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Aqua Dermatology of Georgia, PC hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 11D2107014 expire?
The CMS file lists September 12, 2027 as the certificate expiration date; the certificate took effect September 13, 2025.