CLIA lab
CLIA 11D2312059: Aqua Dermatology of Georgia, PC
Woodstock, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2312059 belongs to Aqua Dermatology of Georgia, PC in Woodstock, GA.
Certificate of Waiver, effective October 3, 2026, expires October 2, 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
- October 3, 2026
- Certificate expiration
- October 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 3, 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
- 11D2312059
- Lab name
- Aqua Dermatology of Georgia, PC
- Address
- 2001 Professional Parkway, Suite 250, Woodstock, GA 30188
- 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.
Other labs in Woodstock, GA
- Accumed Home Health of Georgia, LLCCertificate of Waiver, Home health agency11D1000475
- Aga LLCCertificate of Waiver, Physician office11D1079877
- Agape Hospice Care of Cherokee County, LLCCertificate of Waiver, Hospice11D2164228
- Agape Recovery House DBA Inner Voyage Recovery CTRCertificate of Waiver, Independent11D2228729
- Ajmeri Wellness PCCertificate of Accreditation, Physician office11D2316019
- Alliance Surgery Center at Woodstock, LLCCertificate of Waiver, Ambulatory surgery center11D2160013
- American Family Care - WoodstockCertificate of Waiver, Physician office11D2069252
- Athens Family Medicine, LLCCertificate of Waiver, Physician office11D1019624
- Atlanta North Dermatology & Skin Care, IncCertificate of Compliance, Physician office11D1092445
- Atlanta Premier Foot and Ankle SurgeryCertificate of Waiver, Ambulatory surgery center11D2167334
Related
Questions
What is the CLIA number for Aqua Dermatology of Georgia, PC in Woodstock?
11D2312059, 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 11D2312059 expire?
The CMS file lists October 2, 2028 as the certificate expiration date; the certificate took effect October 3, 2026.