CLIA lab
CLIA 05D0991194: Mohs Micrographic SRG Lab/Dept of Dermatology
Palo Alto, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0991194 belongs to Mohs Micrographic SRG Lab/Dept of Dermatology in Palo Alto, CA.
Certificate of Compliance, effective January 28, 2026, expires January 27, 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
- January 28, 2026
- Certificate expiration
- January 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 13, 2001
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 05D0991194
- Lab name
- Mohs Micrographic SRG Lab/Dept of Dermatology
- Address
- 795 El Camino Real, 2nd Fl, Clark Building, Palo Alto, CA 94301
- Phone
- (650) 730-6943
- Fax
- (650) 853-3343
Annual test volume the lab reported
- Provider-performed microscopy tests
- 105
- Other nonwaived tests
- 2,537
- Total
- 2,642
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 Mohs Micrographic SRG Lab/Dept of Dermatology in Palo Alto?
05D0991194, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mohs Micrographic SRG Lab/Dept of Dermatology hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D0991194 expire?
The CMS file lists January 27, 2028 as the certificate expiration date; the certificate took effect January 28, 2026.