CLIA lab
CLIA 05D0713339: Randy Jacobs Dermatology Inc
Menifee, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0713339 belongs to Randy Jacobs Dermatology Inc in Menifee, CA.
Certificate of Compliance, effective October 10, 2023, expiration date April 30, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 10, 2023
- Certificate expiration
- April 30, 2026
- 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
- 05D0713339
- Lab name
- Randy Jacobs Dermatology Inc
- Address
- 28120 Bradley Rd, Menifee, CA 92586
- Phone
- (951) 672-7673
- Fax
- (951) 672-1197
Annual test volume the lab reported
- Waived tests
- 50
- Other nonwaived tests
- 300
- Total
- 350
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Menifee, CA
- A Plus Urgent CareCertificate of Waiver, Physician office05D2178433
- Abayomi A Odubela MD ACertificate of Waiver, Physician office05D1000089
- Advanced Dermatology, Thomas J Hoffmann MDCertificate of Compliance, Physician office05D1057914
- Brightstar CareCertificate of Waiver, Home health agency05D2065998
- CV Mehta MD Medical CorpCertificate of Waiver, Physician office05D2293807
- Children's Primary Care Medical GroupCertificate of Waiver, Physician office05D0988912
- Gonzales Medical GroupCertificate of Waiver, Physician office05D0951428
- Grace Family Health, Inc.Certificate of Waiver, Physician office05D2291137
- Menifee Dental GroupCertificate of Waiver, Other05D2287683
- Menifee Global Multi-Specialty Group IncCertificate of Waiver, Physician office05D2282664
Related
Questions
What is the CLIA number for Randy Jacobs Dermatology Inc in Menifee?
05D0713339, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Randy Jacobs Dermatology Inc hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D0713339 expire?
The CMS file lists April 30, 2026 as the certificate expiration date; the certificate took effect October 10, 2023.