CLIA lab

CLIA 11D2312068: Aqua Dermatology of Georgia, PC

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

CLIA number 11D2312068 belongs to Aqua Dermatology of Georgia, PC in Smyrna, GA.

Certificate of Registration, effective July 1, 2025, expires June 30, 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 Registration
Certificate effective
July 1, 2025
Certificate expiration
June 30, 2027
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
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D2312068
Lab name
Aqua Dermatology of Georgia, PC
Address
4298 Atlanta Road, Suite 220, Smyrna, GA 30080
Phone
(470) 242-0717
Fax
(770) 755-5890

Annual test volume the lab reported

Waived tests
112
Other nonwaived tests
400
Total
512

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Smyrna, GA

Related

Questions

What is the CLIA number for Aqua Dermatology of Georgia, PC in Smyrna?

11D2312068, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Aqua Dermatology of Georgia, PC hold?

A Certificate of Registration, according to the CMS file.

When does CLIA 11D2312068 expire?

The CMS file lists June 30, 2027 as the certificate expiration date; the certificate took effect July 1, 2025.

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