CLIA lab

CLIA 11D2262572: Cleaver Medical Group Dermatology Inc

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

CLIA number 11D2262572 belongs to Cleaver Medical Group Dermatology Inc in Canton, GA.

Certificate of Waiver, effective June 15, 2026, expires June 14, 2028.

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
June 15, 2026
Certificate expiration
June 14, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 15, 2022
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
4

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

Lab and contact

CLIA number
11D2262572
Lab name
Cleaver Medical Group Dermatology Inc
Address
1521 Hickory Flat Highway, Suite 203, Canton, GA 30115
Phone
(770) 800-3455
Fax
(770) 284-8380

Annual test volume the lab reported

Waived tests
1,000

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

Affiliated CLIA numbers

Other labs in Canton, GA

Related

Questions

What is the CLIA number for Cleaver Medical Group Dermatology Inc in Canton?

11D2262572, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Cleaver Medical Group Dermatology Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 11D2262572 expire?

The CMS file lists June 14, 2028 as the certificate expiration date; the certificate took effect June 15, 2026.

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