CLIA lab
CLIA 11D2237646: Southern Dermatology Medical LLC
Evans, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2237646 belongs to Southern Dermatology Medical LLC in Evans, GA.
Certificate of Waiver, effective September 27, 2025, expires September 26, 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 Waiver
- Certificate effective
- September 27, 2025
- Certificate expiration
- September 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 27, 2021
- 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
- 11D2237646
- Lab name
- Southern Dermatology Medical LLC
- Address
- 4150 Washington Road Suite 6, Evans, GA 30809
- Phone
- (706) 760-0013
- Fax
- (762) 224-2177
Annual test volume the lab reported
- Waived tests
- 100
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 Southern Dermatology Medical LLC in Evans?
11D2237646, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Dermatology Medical LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2237646 expire?
The CMS file lists September 26, 2027 as the certificate expiration date; the certificate took effect September 27, 2025.