CLIA lab
CLIA 05D0567864: Grossmont Dermatology Medical Clinic
La Mesa, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0567864 belongs to Grossmont Dermatology Medical Clinic in La Mesa, CA.
Certificate of Compliance, effective August 24, 2025, expires August 23, 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
- August 24, 2025
- Certificate expiration
- August 23, 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
- 05D0567864
- Lab name
- Grossmont Dermatology Medical Clinic
- Additional name
- DBA: Dermatology Medical Center of California
- Address
- 8860 Center Dr, Ste 300, La Mesa, CA 91942
- Phone
- (619) 462-1670
- Fax
- (619) 462-3209
Annual test volume the lab reported
- Waived tests
- 2,500
- Provider-performed microscopy tests
- 50
- Other nonwaived tests
- 6,550
- Total
- 9,100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Grossmont Dermatology Medical Clinic in La Mesa?
05D0567864, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grossmont Dermatology Medical Clinic hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D0567864 expire?
The CMS file lists August 23, 2027 as the certificate expiration date; the certificate took effect August 24, 2025.