CLIA lab
CLIA 11D2107617: Skin Cancer Specialists PC - Cartersville (DBA)
Cartersville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2107617 belongs to Skin Cancer Specialists PC - Cartersville (DBA) in Cartersville, GA.
Certificate of Compliance, effective August 10, 2026, expires August 9, 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
- August 10, 2026
- Certificate expiration
- August 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 19, 2016
- 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
- 11D2107617
- Lab name
- Skin Cancer Specialists PC - Cartersville (DBA)
- Additional name
- Aqua Dermatology of Georgia, PC
- Address
- 10 Cloverleaf Drive, Cartersville, GA 30120
- Phone
- (770) 422-5557
- Fax
- (770) 422-5456
Annual test volume the lab reported
- Waived tests
- 100
- Provider-performed microscopy tests
- 50
- Other nonwaived tests
- 1,750
- Total
- 1,900
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Cartersville, GA
- Absolute Care Ambulance ServiceCertificate of Waiver, Ambulance11D2348456
- Adventhealth Medical Group at Medical DriveCertificate for Provider-Performed Microscopy Procedures, Physician office11D0256344
- Adventhealth Primary Care + CartersvilleCertificate of Waiver, Other11D2326867
- Affinis Hospice, LLCCertificate of Waiver, Hospice11D1077238
- Aga, LLC DBA Atlanta Gastroenterology AssociatesCertificate of Waiver, Physician office11D2348117
- Agc Pediatric LLCCertificate of Waiver, Physician office11D1076789
- Alan Kozarsky, MDCertificate of Waiver, Physician office11D2190849
- Amedisys Hospice Care of CartersvilleCertificate of Waiver, Hospice11D1078954
- Atrium Health Floyd Primary CareCertificate of Waiver, Physician office11D0922666
- Bartow County Fire and Emergency ServicesCertificate of Waiver, Ambulance11D2197707
Related
Questions
What is the CLIA number for Skin Cancer Specialists PC - Cartersville (DBA) in Cartersville?
11D2107617, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Skin Cancer Specialists PC - Cartersville (DBA) hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 11D2107617 expire?
The CMS file lists August 9, 2028 as the certificate expiration date; the certificate took effect August 10, 2026.