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CLIA 05D1029907: Golden State Dermatology Associates, Inc

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

CLIA number 05D1029907 belongs to Golden State Dermatology Associates, Inc in Encino, CA.

Certificate of Compliance, effective June 3, 2025, expires June 2, 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
June 3, 2025
Certificate expiration
June 2, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 25, 2004
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Lab and contact

CLIA number
05D1029907
Lab name
Golden State Dermatology Associates, Inc
Address
5400 Balboa Blvd Ste 220, Encino, CA 91316
Phone
(310) 274-5372
Fax
(310) 274-5380

Annual test volume the lab reported

Other nonwaived tests
1,201

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

Affiliated CLIA numbers

Other labs in Encino, CA

Related

Questions

What is the CLIA number for Golden State Dermatology Associates, Inc in Encino?

05D1029907, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Golden State Dermatology Associates, Inc hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 05D1029907 expire?

The CMS file lists June 2, 2027 as the certificate expiration date; the certificate took effect June 3, 2025.

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