CLIA lab
CLIA 05D0934428: Green Dermatologic Medical Group
San Clemente, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0934428 belongs to Green Dermatologic Medical Group in San Clemente, CA.
Certificate of Compliance, effective February 18, 2026, expires February 17, 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 18, 2026
- Certificate expiration
- February 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 6, 1997
- 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
- 05D0934428
- Lab name
- Green Dermatologic Medical Group
- Address
- 657 Camino De Los Mares, Ste 242, San Clemente, CA 92673
- Phone
- (949) 496-6066
- Fax
- (949) 496-6497
Annual test volume the lab reported
- Other nonwaived tests
- 678
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in San Clemente, CA
- Advanced Institute of Dermatology, Inc.Certificate of Compliance, Physician office05D2145032
- C.L.O. Inc DBA Calle Sonora Place Icf/Dd-NCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities05D2100613
- Eleven 11 Recovery LLCCertificate of Waiver, Other05D2317563
- Encinitas DetoxCertificate of Waiver, Other05D2306589
- Harvard Eye AssociatesCertificate of Waiver, Physician office05D2126188
- Health and Wellness Center IncCertificate of Waiver, Physician office05D2016782
- Healthcare Partners Affiliates Medical GroupCertificate of Waiver, Physician office05D0579395
- Hoag ClinicCertificate of Waiver, Physician office05D2193830
- Hoag ClinicCertificate of Waiver, Physician office05D2302464
- Hoag ClinicCertificate of Waiver, Physician office05D2324035
Related
Questions
What is the CLIA number for Green Dermatologic Medical Group in San Clemente?
05D0934428, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Green Dermatologic Medical Group hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D0934428 expire?
The CMS file lists February 17, 2028 as the certificate expiration date; the certificate took effect February 18, 2026.