CLIA lab
CLIA 11D2342641: Aqua Dermatology of Georgia, PC
Peachtree Corners, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2342641 belongs to Aqua Dermatology of Georgia, PC in Peachtree Corners, GA.
Certificate of Waiver, effective April 23, 2026, expires April 22, 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
- April 23, 2026
- Certificate expiration
- April 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 23, 2026
- 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
- 11D2342641
- Lab name
- Aqua Dermatology of Georgia, PC
- Address
- 5185 Peachtree Parkway, Suite 240, Peachtree Corners, GA 30092
- Phone
- (470) 242-0716
- 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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- Atlanta Pro AmbulanceCertificate of Waiver, Ambulance11D2276715
- Atlas Behavioral Health, LLCCertificate of Waiver, Comprehensive outpatient rehab facility11D2273807
- Axis Dermatology LLCCertificate of Waiver, Physician office11D2348736
- Capstone HospiceCertificate of Waiver, Hospice11D2103827
- Centro De Salud Hispano De GeorgiaCertificate of Waiver, Physician office11D2319495
- Fibroid and Pelvic Wellness Center of GeorgiaCertificate of Waiver, Physician office11D2187619
Related
Questions
What is the CLIA number for Aqua Dermatology of Georgia, PC in Peachtree Corners?
11D2342641, 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 11D2342641 expire?
The CMS file lists April 22, 2028 as the certificate expiration date; the certificate took effect April 23, 2026.