CLIA lab
CLIA 11D2295404: Aqua Dermatology of Georgia, PC
Rome, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2295404 belongs to Aqua Dermatology of Georgia, PC in Rome, GA.
Certificate for Provider-Performed Microscopy Procedures, effective December 12, 2025, expires December 11, 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
- December 12, 2025
- Certificate expiration
- December 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 12, 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
- 11D2295404
- Lab name
- Aqua Dermatology of Georgia, PC
- Address
- 18 Riverbend Dr, SW, #230, Rome, GA 30161
- Phone
- (678) 738-0122
- Fax
- (706) 916-8129
Annual test volume the lab reported
- Waived tests
- 125
- Provider-performed microscopy tests
- 100
- Total
- 225
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Rome, GA
- Advent Health Cancer PavillionCertificate of Registration, Ancillary test site11D2343678
- Adventhealth LabCertificate of Accreditation, Hospital11D0256825
- Adventhealth LabCertificate of Waiver, Other11D2127538
- Adventhealth LabCertificate of Waiver, Other11D2290128
- Adventhealth Med Group Pediatrics at Shorter AveCertificate of Waiver, Physician office11D2293443
- Adventhealth Medical Group Primary Care at W 10 STCertificate of Waiver, Physician office11D2305629
- Adventhealth Medical Group Pulmonology at RomeCertificate of Waiver, Physician office11D2345761
- Adventhealth Medical Group at East 2nd AvenueCertificate of Waiver, Physician office11D1094889
- Adventhealth Medical Group at John MaddoxCertificate of Waiver, Physician office11D2346917
- Adventhealth Medical Group at Shorter AvenueCertificate of Waiver, Physician office11D0925477
Related
Questions
What is the CLIA number for Aqua Dermatology of Georgia, PC in Rome?
11D2295404, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Aqua Dermatology of Georgia, PC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 11D2295404 expire?
The CMS file lists December 11, 2027 as the certificate expiration date; the certificate took effect December 12, 2025.