CLIA lab

CLIA 05D1012717: Skin Physicians & Surgeons Medical Group Inc

Upland, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D1012717 belongs to Skin Physicians & Surgeons Medical Group Inc in Upland, CA.

Certificate of Compliance, effective October 9, 2025, expires October 8, 2027.

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 9, 2025
Certificate expiration
October 8, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 19, 2003
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
05D1012717
Lab name
Skin Physicians & Surgeons Medical Group Inc
Additional name
DBA Skin Physicians & Surgeons, A Forefront Derm
Address
859 E Foothill, Blvd Ste B, Upland, CA 91786
Phone
(909) 981-8929
Fax
(909) 946-9740

Annual test volume the lab reported

Waived tests
250
Provider-performed microscopy tests
350
Other nonwaived tests
3,200
Total
3,800

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Questions

What is the CLIA number for Skin Physicians & Surgeons Medical Group Inc in Upland?

05D1012717, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Skin Physicians & Surgeons Medical Group Inc hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 05D1012717 expire?

The CMS file lists October 8, 2027 as the certificate expiration date; the certificate took effect October 9, 2025.

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