CLIA lab
CLIA 11D2348693: Aqua Dermatology of Georgia, PC
Jasper, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 11D2348693 belongs to Aqua Dermatology of Georgia, PC in Jasper, GA.
Certificate of Waiver, effective August 11, 2026, expires August 10, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 11, 2026
- Certificate expiration
- August 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 11, 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
- 11D2348693
- Lab name
- Aqua Dermatology of Georgia, PC
- Address
- 49 Gordon Road, Suite 101, Jasper, GA 30143
- Phone
- (470) 242-0720
- Fax
- (770) 755-5890
Annual test volume the lab reported
- Waived tests
- 12
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jasper, GA
- Advanced Urology Institute of Georgia, LLCCertificate of Waiver, Physician office11D2318645
- Airlife ThreeCertificate of Waiver, Ambulance11D2020272
- Amedisys Northwest, LLCCertificate of Waiver, Home health agency11D0695853
- Appalachian Hospice South, LLCCertificate of Waiver, Hospice11D2288607
- Big Canoe Public SafetyCertificate of Waiver, Other11D2198893
- City of Jasper Fire DepartmentCertificate of Waiver, Other11D2288324
- Digestive Healthcare of GeorgiaCertificate of Waiver, Physician office11D2120245
- Digestive Healthcare of Georgia Endoscopy CenterCertificate of Waiver, Ambulatory surgery center11D1091226
- Dragon Care/ Good Samaritan HealthCertificate of Waiver, Federally qualified health center11D2328077
- Georgia Mountain Dermatology, LLCCertificate for Provider-Performed Microscopy Procedures, Physician office11D1074084
Related
Questions
What is the CLIA number for Aqua Dermatology of Georgia, PC in Jasper?
11D2348693, 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 11D2348693 expire?
The CMS file lists August 10, 2028 as the certificate expiration date; the certificate took effect August 11, 2026.