CLIA lab
CLIA 11D2288803: Prosynergy Dermatology LLC
Martinez, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2288803 belongs to Prosynergy Dermatology LLC in Martinez, GA.
Certificate of Compliance, effective July 2, 2025, expires July 1, 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
- July 2, 2025
- Certificate expiration
- July 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 31, 2023
- 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
- 11D2288803
- Lab name
- Prosynergy Dermatology LLC
- Additional name
- LD Phone (801) 368-5460
- Address
- 111 Davis Road, Martinez, GA 30907
- Phone
- (706) 432-9285
- Fax
- (706) 432-9674
Annual test volume the lab reported
- Provider-performed microscopy tests
- 20
- Other nonwaived tests
- 3,200
- Total
- 3,220
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Martinez, GA
- 232 Pecan DRCertificate of Waiver, Other11D2259281
- 331 Timberidge DRCertificate of Waiver, School or student health service11D2259279
- 4064 Flintrock WayCertificate of Waiver, Other11D2259985
- Alliance HospiceCertificate of Waiver, Hospice11D1048677
- Augusta Home Care Services, LLCCertificate of Waiver, Home health agency11D0873083
- Augusta Home Care Services, LLCCertificate of Waiver, Hospice11D2167156
- Augusta Plastic Surgery Center, IncCertificate of Waiver, Ambulatory surgery center11D2004718
- Benjamin F Towe MD PCCertificate for Provider-Performed Microscopy Procedures, Physician office11D0970020
- Capital City Ambulance of GeorgiaCertificate of Waiver, Ambulance11D2268003
- Claiborne at West Lake, theCertificate of Waiver, Assisted living facility11D2194298
Related
Questions
What is the CLIA number for Prosynergy Dermatology LLC in Martinez?
11D2288803, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prosynergy Dermatology LLC hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 11D2288803 expire?
The CMS file lists July 1, 2027 as the certificate expiration date; the certificate took effect July 2, 2025.