CLIA lab
CLIA 05D1036647: Dermatology Center at Ladera Inc
Ladera Ranch, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1036647 belongs to Dermatology Center at Ladera Inc in Ladera Ranch, CA.
Certificate of Compliance, effective October 20, 2025, expires October 19, 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 20, 2025
- Certificate expiration
- October 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 7, 2005
- 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
- 05D1036647
- Lab name
- Dermatology Center at Ladera Inc
- Address
- 600 Corporate Dr, Ste 240, Ladera Ranch, CA 92694
- Phone
- (949) 364-8411
- Fax
- (949) 364-8511
Annual test volume the lab reported
- Waived tests
- 100
- Provider-performed microscopy tests
- 67
- Other nonwaived tests
- 4,767
- Total
- 4,934
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Ladera Ranch, CA
- Coastal Hills DermatologyCertificate of Compliance, Physician office05D2094986
- Healthcare Partners Affiliates Medical GroupCertificate of Waiver, Physician office05D1013480
- Kelly E Fordyee MD IncCertificate of Waiver, Physician office05D2247738
- Memorialcare Medical GroupCertificate for Provider-Performed Microscopy Procedures, Physician office05D2145199
- Ocean PediatricsCertificate of Waiver, Physician office05D2319526
- Orange County Childrens Medical Group IncCertificate of Waiver, Physician office05D1106075
- Orchards HC LLC, theCertificate of Waiver, Skilled nursing or nursing facility05D2216174
- Providence Mission Health CenterCertificate of Waiver, Physician office05D2342600
- Raef M Elsanadi MD IncCertificate of Waiver, Physician office05D0970605
- Reata Glen Orange County Ccrc LLCCertificate of Waiver, Other05D2230466
Related
Questions
What is the CLIA number for Dermatology Center at Ladera Inc in Ladera Ranch?
05D1036647, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dermatology Center at Ladera Inc hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D1036647 expire?
The CMS file lists October 19, 2027 as the certificate expiration date; the certificate took effect October 20, 2025.