CLIA lab

CLIA 11D2113753: Metroderm PC - Lilburn

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

CLIA number 11D2113753 belongs to Metroderm PC - Lilburn in Lilburn, GA.

Certificate of Compliance, effective July 25, 2025, expires July 24, 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
July 25, 2025
Certificate expiration
July 24, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 31, 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
11D2113753
Lab name
Metroderm PC - Lilburn
Address
4150 Five Forks Trickum Road, Suite 3, Lilburn, GA 30047
Phone
(770) 921-4740
Fax
(770) 921-1993

Annual test volume the lab reported

Waived tests
119
Provider-performed microscopy tests
47
Other nonwaived tests
743
Total
909

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

Affiliated CLIA numbers

Other labs in Lilburn, GA

Related

Questions

What is the CLIA number for Metroderm PC - Lilburn in Lilburn?

11D2113753, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Metroderm PC - Lilburn hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 11D2113753 expire?

The CMS file lists July 24, 2027 as the certificate expiration date; the certificate took effect July 25, 2025.

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