CLIA lab
CLIA 11D2235821: Aqua Dermatology of Georgia - Hiram
Dallas, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2235821 belongs to Aqua Dermatology of Georgia - Hiram in Dallas, GA.
Certificate of Compliance, effective June 14, 2025, expires June 13, 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
- June 14, 2025
- Certificate expiration
- June 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 13, 2021
- 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
- 11D2235821
- Lab name
- Aqua Dermatology of Georgia - Hiram
- Additional name
- DBA Skin Cancer Specialists & Aesthetics
- Address
- 850 Charles Hardy Parkway, Dallas, GA 30157
- Phone
- (770) 422-5557
- Fax
- (770) 422-5456
Annual test volume the lab reported
- Waived tests
- 120
- Provider-performed microscopy tests
- 135
- Other nonwaived tests
- 535
- Total
- 790
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Dallas, GA
- Adma Biocenters Georgia, IncCertificate of Compliance, Other11D2266397
- Advanced Urology Institute of Georgia, PCCertificate of Waiver, Physician office11D2338686
- Allcare DallasCertificate of Waiver, Physician office11D2227370
- Amazing Grace Hospice Care, LLCCertificate of Waiver, Hospice11D2286245
- Anna Chos LLC DBA Anna Chos Urgent ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office11D2343709
- Blue Ridge Care Center, LLCCertificate of Waiver, Skilled nursing or nursing facility11D2326792
- C&C Pharmacy, IncCertificate of Waiver, Pharmacy11D2183259
- CPM Sugery Center 2, LLCCertificate of Waiver, Ambulatory surgery center11D1099264
- Carelink of Northwest Georgia, IncCertificate of Waiver, Community clinic11D2155672
- Center for Spine InterventionsCertificate of Waiver, Physician office11D2049696
Related
Questions
What is the CLIA number for Aqua Dermatology of Georgia - Hiram in Dallas?
11D2235821, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Aqua Dermatology of Georgia - Hiram hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 11D2235821 expire?
The CMS file lists June 13, 2027 as the certificate expiration date; the certificate took effect June 14, 2025.