CLIA lab
CLIA 05D0562804: Alta Dermatology Medical Group
Cucamonga, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0562804 belongs to Alta Dermatology Medical Group in Cucamonga, CA.
Certificate of Compliance, effective May 22, 2025, expires May 21, 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 Compliance
- Certificate effective
- May 22, 2025
- Certificate expiration
- May 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- 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
- 05D0562804
- Lab name
- Alta Dermatology Medical Group
- Address
- 7365 Carnelian St, Ste 137, Cucamonga, CA 91730
- Phone
- (951) 966-0125
- Fax
- (909) 948-8839
Annual test volume the lab reported
- Other nonwaived tests
- 2,490
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Alta Dermatology Medical Group in Cucamonga?
05D0562804, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Alta Dermatology Medical Group hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D0562804 expire?
The CMS file lists May 21, 2027 as the certificate expiration date; the certificate took effect May 22, 2025.