CLIA lab
CLIA 05D1042496: Elissa Gropen Dermatology, Inc
Riverside, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1042496 belongs to Elissa Gropen Dermatology, Inc in Riverside, CA.
Certificate for Provider-Performed Microscopy Procedures, effective January 1, 2026, expires December 31, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- January 1, 2026
- Certificate expiration
- December 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 30, 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
- 05D1042496
- Lab name
- Elissa Gropen Dermatology, Inc
- Address
- 3576 Arlington Ave, Ste 102, Riverside, CA 92506
- Phone
- (951) 684-8397
- Fax
- (951) 684-2252
Annual test volume the lab reported
- Waived tests
- 120
- Provider-performed microscopy tests
- 5
- Total
- 125
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Afc Urgent Care RiversideCertificate of Accreditation, Other practitioner05D2095320
- Affinity Home Health Services, IncCertificate of Waiver, Home health agency05D1070005
- Agile Occupational Medicine, PCCertificate of Waiver, Physician office05D2331790
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- Alta Vista Healthcare and Wellness CentreCertificate of Waiver, Skilled nursing or nursing facility05D0575422
Related
Questions
What is the CLIA number for Elissa Gropen Dermatology, Inc in Riverside?
05D1042496, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Elissa Gropen Dermatology, Inc hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D1042496 expire?
The CMS file lists December 31, 2027 as the certificate expiration date; the certificate took effect January 1, 2026.