CLIA lab
CLIA 05D0930212: MB Dermatology and Cosmetic Surgery
Hawthorne, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0930212 belongs to MB Dermatology and Cosmetic Surgery in Hawthorne, CA.
Certificate of Compliance, effective February 17, 2026, expires February 16, 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 17, 2026
- Certificate expiration
- February 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 1, 1997
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0930212
- Lab name
- MB Dermatology and Cosmetic Surgery
- Address
- 14650 Aviation Blvd, Ste 235, Hawthorne, CA 90250
- Phone
- (310) 643-9333
- Fax
- (310) 643-9337
Annual test volume the lab reported
- Provider-performed microscopy tests
- 100
- Other nonwaived tests
- 1,125
- Total
- 1,225
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Hawthorne, CA
- Ace Medical GroupCertificate of Waiver, Physician office05D0954191
- Acknowledge Home Health IncCertificate of Waiver, Home health agency05D1018472
- Ajay G Meka MD IncCertificate of Waiver, Physician office05D0693906
- Ali Awada, MD, IncCertificate of Waiver, Physician office05D1046690
- Ananias E Ebilane MDCertificate of Waiver, Physician office05D0547880
- Behavioral Health ServicesCertificate of Waiver, Federally qualified health center05D2110453
- Camino HealthcareCertificate of Waiver, Skilled nursing or nursing facility05D0885481
- Centro Medico IncCertificate of Waiver, Physician office05D0896728
- College Medical Center Hawthorne CampusCertificate of Waiver, Hospital05D2207151
- Continuity Providers Healthcare IncCertificate of Waiver, Home health agency05D2034849
Related
Questions
What is the CLIA number for MB Dermatology and Cosmetic Surgery in Hawthorne?
05D0930212, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does MB Dermatology and Cosmetic Surgery hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D0930212 expire?
The CMS file lists February 16, 2028 as the certificate expiration date; the certificate took effect February 17, 2026.