CLIA lab
CLIA 11D2312115: Aqua Dermatology of Georgia, PC
Canton, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2312115 belongs to Aqua Dermatology of Georgia, PC in Canton, GA.
Certificate of Registration, effective April 1, 2026, expires March 31, 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 Registration
- Certificate effective
- April 1, 2026
- Certificate expiration
- March 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 4, 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
- 11D2312115
- Lab name
- Aqua Dermatology of Georgia, PC
- Address
- 460 Northside Cherokee Boulevard, Suite 410, Canton, GA 30115
- Phone
- (470) 242-0730
- 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.
Other labs in Canton, GA
- Advanced Center for Joint Replacement Cherokee,llcCertificate of Waiver, Ambulatory surgery center11D2310331
- Advanced Urology Institute of Georgia, LLCCertificate of Waiver, Physician office11D2186854
- Aga, LLCCertificate of Waiver, Physician office11D2138139
- Ahs Surgery Center Canton, LLCCertificate of Waiver, Ambulatory surgery center11D2076515
- American Health Imaging of CantonCertificate of Waiver, Independent11D2075795
- Atlanta Cancer Care Canton OfficeCertificate of Accreditation, Physician office11D2129965
- Atlanta North Dermatology & Skin CareCertificate of Registration, Physician office11D2324304
- Aylo Health - CantonCertificate of Accreditation, Physician office11D2290810
- Aylo Health - Hickory FlatCertificate of Accreditation, Physician office11D2316749
- Back To Life Medical GroupCertificate of Compliance, Physician office11D2017911
Related
Questions
What is the CLIA number for Aqua Dermatology of Georgia, PC in Canton?
11D2312115, 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 11D2312115 expire?
The CMS file lists March 31, 2028 as the certificate expiration date; the certificate took effect April 1, 2026.