CLIA lab
CLIA 05D1017390: Premier Dermatology A Medical Group
San Carlos, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1017390 belongs to Premier Dermatology A Medical Group in San Carlos, CA.
Certificate of Compliance, effective March 9, 2022, expiration date September 30, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- March 9, 2022
- Certificate expiration
- September 30, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 24, 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
- 05D1017390
- Lab name
- Premier Dermatology A Medical Group
- Address
- 378 El Camino Real, San Carlos, CA 94070
- Phone
- (650) 551-9700
- Fax
- (650) 551-9702
Annual test volume the lab reported
- Provider-performed microscopy tests
- 5
- Other nonwaived tests
- 55
- Total
- 60
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in San Carlos, CA
- Concentra - San CarlosCertificate of Waiver, Physician office05D0953186
- DR Michelle Fiore MD CMCertificate of Compliance, Physician office05D0891333
- David and Gail Jacoby MDCertificate for Provider-Performed Microscopy Procedures, Physician office05D0592098
- Digestive Care LaboratoryCertificate of Compliance, Independent05D1000932
- Digestive Care Medical CenterCertificate of Waiver, Ambulatory surgery center05D2165335
- Duet PharmacyCertificate of Waiver, Pharmacy05D2262907
- Natera, Inc.Certificate of Accreditation, Independent05D1082992
- Palo Alto Medical FoundationCertificate of Compliance, Physician office05D2185251
- Palo Alto Medical Foundation- San Carlos CenterCertificate for Provider-Performed Microscopy Procedures, Ancillary test site05D2083436
- Pg&e Health Center San CarlosCertificate of Waiver, Physician office05D2254900
Related
Questions
What is the CLIA number for Premier Dermatology A Medical Group in San Carlos?
05D1017390, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premier Dermatology A Medical Group hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D1017390 expire?
The CMS file lists September 30, 2026 as the certificate expiration date; the certificate took effect March 9, 2022.