CLIA lab
CLIA 05D0718779: Advanced Dermatology Surgery and Medical Group
Lakewood, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0718779 belongs to Advanced Dermatology Surgery and Medical Group in Lakewood, CA.
Certificate of Compliance, effective October 17, 2022, expires October 31, 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 Compliance
- Certificate effective
- October 17, 2022
- Certificate expiration
- October 31, 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
- 05D0718779
- Lab name
- Advanced Dermatology Surgery and Medical Group
- Address
- 3650 E South St Ste 306, Lakewood, CA 90712
- Phone
- (562) 633-6353
- Fax
- (562) 633-4996
Annual test volume the lab reported
- Other nonwaived tests
- 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 Advanced Dermatology Surgery and Medical Group in Lakewood?
05D0718779, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Advanced Dermatology Surgery and Medical Group hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D0718779 expire?
The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect October 17, 2022.