CLIA lab
CLIA 05D0701455: Golden State Dermatology Associates Inc
Modesto, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0701455 belongs to Golden State Dermatology Associates Inc in Modesto, CA.
Certificate of Registration, effective November 4, 2024, expires November 3, 2026.
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
- November 4, 2024
- Certificate expiration
- November 3, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 2, 1993
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Accrediting organizations
- COLA
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0701455
- Lab name
- Golden State Dermatology Associates Inc
- Address
- 1324 Nelson Ave Ste B, Modesto, CA 95350
- Phone
- (209) 524-9481
- Fax
- (209) 622-1617
Annual test volume the lab reported
- Waived tests
- 288
- Provider-performed microscopy tests
- 48
- Tests under accreditation
- 1,736
- Total
- 2,072
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Modesto, CA
- Abidali Professional Medical IncCertificate of Waiver, Other05D2319625
- Abrams Health Care IncCertificate of Waiver, Mobile lab05D2106430
- Addiction Free Recovery ServicesCertificate of Waiver, Comprehensive outpatient rehab facility05D2301245
- Adventist Health Physicians NetworkCertificate of Waiver, Physician office05D2165849
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D0973366
- Affection Health CareCertificate of Waiver, Physician office05D2329907
- Agile Occupational MedicineCertificate of Waiver, Physician office05D2336722
- All for KidsCertificate of Waiver, Physician office05D2114344
- Allcare Hospitalist Medical Group - MchenryCertificate of Waiver, Physician office05D2314763
- Almond Vista HealthcareCertificate of Waiver, Skilled nursing or nursing facility05D0726157
Related
Questions
What is the CLIA number for Golden State Dermatology Associates Inc in Modesto?
05D0701455, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Golden State Dermatology Associates Inc hold?
A Certificate of Registration, according to the CMS file.
When does CLIA 05D0701455 expire?
The CMS file lists November 3, 2026 as the certificate expiration date; the certificate took effect November 4, 2024.