CLIA lab
CLIA 11D2311651: Aqua Dermatology of Georgia, PC
Marietta, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2311651 belongs to Aqua Dermatology of Georgia, PC in Marietta, GA.
Certificate of Waiver, effective September 26, 2026, expires September 25, 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
- September 26, 2026
- Certificate expiration
- September 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 26, 2024
- 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
- 11D2311651
- Lab name
- Aqua Dermatology of Georgia, PC
- Address
- 1163 Johnson Ferry Road, Suite 250, Marietta, GA 30068
- Phone
- (770) 754-0796
- Fax
- (770) 755-5890
Annual test volume the lab reported
- Waived tests
- 112
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Advanced Urology Institute of Georgia, PCCertificate of Waiver, Physician office11D2174532
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Related
Questions
What is the CLIA number for Aqua Dermatology of Georgia, PC in Marietta?
11D2311651, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Aqua Dermatology of Georgia, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 11D2311651 expire?
The CMS file lists September 25, 2028 as the certificate expiration date; the certificate took effect September 26, 2026.