CLIA lab

CLIA 11D2274388: Epiphany Dermatology of Georgia, LLC

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

CLIA number 11D2274388 belongs to Epiphany Dermatology of Georgia, LLC in Newnan, GA.

Certificate for Provider-Performed Microscopy Procedures, effective January 4, 2025, expires January 3, 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 for Provider-Performed Microscopy Procedures
Certificate effective
January 4, 2025
Certificate expiration
January 3, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 4, 2023
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
11D2274388
Lab name
Epiphany Dermatology of Georgia, LLC
Address
710 Newnan Crossing Bypass, Suite 300, Newnan, GA 30263
Phone
(770) 251-5111
Fax
(770) 809-3674

Annual test volume the lab reported

Waived tests
30
Provider-performed microscopy tests
30
Total
60

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 Epiphany Dermatology of Georgia, LLC in Newnan?

11D2274388, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Epiphany Dermatology of Georgia, LLC hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 11D2274388 expire?

The CMS file lists January 3, 2027 as the certificate expiration date; the certificate took effect January 4, 2025.

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