CLIA lab

CLIA 05D1029810: J Robert West MD, Inc DBA Hodge Dermatology

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

CLIA number 05D1029810 belongs to J Robert West MD, Inc DBA Hodge Dermatology in Fullerton, CA.

Certificate of Compliance, effective June 22, 2025, expires June 21, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Compliance
Certificate effective
June 22, 2025
Certificate expiration
June 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 24, 2004
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
05D1029810
Lab name
J Robert West MD, Inc DBA Hodge Dermatology
Address
1440 N Harbor Blvd, Ste 300, Fullerton, CA 92835
Phone
(714) 526-7546
Fax
(714) 526-7547

Annual test volume the lab reported

Provider-performed microscopy tests
15
Other nonwaived tests
375
Total
390

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

Other labs in Fullerton, CA

Related

Questions

What is the CLIA number for J Robert West MD, Inc DBA Hodge Dermatology in Fullerton?

05D1029810, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does J Robert West MD, Inc DBA Hodge Dermatology hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 05D1029810 expire?

The CMS file lists June 21, 2027 as the certificate expiration date; the certificate took effect June 22, 2025.

Try it on your own data today.

Free to start. Most teams are using it the same day.