CLIA lab
CLIA 05D0719378: Pacific Dermatopathology
Studio City, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0719378 belongs to Pacific Dermatopathology in Studio City, CA.
Certificate of Compliance, effective February 21, 2026, expires February 20, 2028.
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
- February 21, 2026
- Certificate expiration
- February 20, 2028
- 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
- 05D0719378
- Lab name
- Pacific Dermatopathology
- Address
- 12409 Ventura Ct, Ste C, Studio City, CA 91604
- Phone
- (310) 828-4071
- Fax
- (310) 828-6734
Annual test volume the lab reported
- Other nonwaived tests
- 30,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Studio City, CA
- 360 Integrated Recovery IncCertificate of Waiver, Other05D2292866
- Elements PharmacyCertificate of Waiver, Pharmacy05D2121497
- Golden State Dermatology Associates IncCertificate of Compliance, Physician office05D1015246
- Heart of Hope Home Healthcare IncCertificate of Waiver, Home health agency05D2188731
- High Level Home Health Services IncCertificate of Waiver, Home health agency05D2312749
- Imperial Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0698271
- Ivy Park at Studio CityCertificate of Waiver, Assisted living facility05D2296116
- Life & Love Hospice Care GroupCertificate of Waiver, Home health agency05D2274871
- Lifetime Home Health Care Services, IncCertificate of Waiver, Home health agency05D2274874
- Medprof Home Health Care, IncCertificate of Waiver, Home health agency05D2276397
Related
Questions
What is the CLIA number for Pacific Dermatopathology in Studio City?
05D0719378, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pacific Dermatopathology hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D0719378 expire?
The CMS file lists February 20, 2028 as the certificate expiration date; the certificate took effect February 21, 2026.