CLIA lab

CLIA 11D2257509: Aqua Dermatology of Georgia, PC

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

CLIA number 11D2257509 belongs to Aqua Dermatology of Georgia, PC in Dawsonville, GA.

Certificate of Compliance, effective August 18, 2025, expires August 17, 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
August 18, 2025
Certificate expiration
August 17, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 6, 2022
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D2257509
Lab name
Aqua Dermatology of Georgia, PC
Address
5893 Hwy 53, Suite 200, Dawsonville, GA 30534
Phone
(770) 754-0789
Fax
(770) 755-5890

Annual test volume the lab reported

Other nonwaived tests
646

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

Affiliated CLIA numbers

Other labs in Dawsonville, GA

Related

Questions

What is the CLIA number for Aqua Dermatology of Georgia, PC in Dawsonville?

11D2257509, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Aqua Dermatology of Georgia, PC hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 11D2257509 expire?

The CMS file lists August 17, 2027 as the certificate expiration date; the certificate took effect August 18, 2025.

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