CLIA lab
CLIA 11D2180746: Baucom & Mina Derm Surgery, LLC
Johns Creek, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2180746 belongs to Baucom & Mina Derm Surgery, LLC in Johns Creek, GA.
Certificate of Compliance, effective December 18, 2024, expires December 17, 2026.
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
- December 18, 2024
- Certificate expiration
- December 17, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 19, 2020
- Facility type
- Ambulatory surgery center
- 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
- 11D2180746
- Lab name
- Baucom & Mina Derm Surgery, LLC
- Address
- 10750 Medlock Bridge Road, Suite 101, Johns Creek, GA 30097
- Phone
- (404) 844-0496
- Fax
- (404) 844-0499
Annual test volume the lab reported
- Other nonwaived tests
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Johns Creek, GA
- Advanced Plastic Surgery SolutionsCertificate of Waiver, Physician office11D1100640
- Advanced Urology Institute of Georgia Johns CreekCertificate of Waiver, Physician office11D2118827
- Alcon Johns CreekCertificate of Waiver, Other11D2246500
- Alto Johns CreekCertificate of Waiver, Assisted living facility11D2318406
- American Oncology Partners, PACertificate of Accreditation, Physician office11D2259390
- Atlanta General and Bariatric Surgery CenterCertificate of Waiver, Ambulatory surgery center11D2057887
- Boston ScientificCertificate of Waiver, Health fair11D2334169
- Centre Spring MDCertificate for Provider-Performed Microscopy Procedures, Physician office11D2122980
- Cleaver Medical Group Dermatology IncCertificate of Waiver, Physician office11D2262534
- Concentra Johns CreekCertificate of Waiver, Physician office11D0892556
Related
Questions
What is the CLIA number for Baucom & Mina Derm Surgery, LLC in Johns Creek?
11D2180746, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Baucom & Mina Derm Surgery, LLC hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 11D2180746 expire?
The CMS file lists December 17, 2026 as the certificate expiration date; the certificate took effect December 18, 2024.