CLIA lab
CLIA 11D2193603: Southeast Dermatology Specialists
Cartersville, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2193603 belongs to Southeast Dermatology Specialists in Cartersville, GA.
Certificate of Compliance, effective March 19, 2025, expires March 18, 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
- March 19, 2025
- Certificate expiration
- March 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 23, 2020
- 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
- 11D2193603
- Lab name
- Southeast Dermatology Specialists
- Address
- 100 Market Place Boulevard, Suite 300, Cartersville, GA 30121
- Phone
- (470) 490-9600
- Fax
- (470) 447-1815
Annual test volume the lab reported
- Waived tests
- 300
- Other nonwaived tests
- 175
- Total
- 475
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Southeast Dermatology Specialists in Cartersville?
11D2193603, 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 11D2193603 expire?
The CMS file lists March 18, 2027 as the certificate expiration date; the certificate took effect March 19, 2025.