CLIA lab
CLIA 05D1082749: Providence ST Jude Yorba Linda Dermatology
Yorba Linda, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1082749 belongs to Providence ST Jude Yorba Linda Dermatology in Yorba Linda, CA.
Certificate of Compliance, effective April 23, 2025, expires April 22, 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
- April 23, 2025
- Certificate expiration
- April 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 17, 2008
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 05D1082749
- Lab name
- Providence ST Jude Yorba Linda Dermatology
- Address
- 4300 Rose Dr, Ste J, Yorba Linda, CA 92886
- Phone
- (714) 577-6666
- Fax
- (714) 579-6859
Annual test volume the lab reported
- Waived tests
- 250
- Provider-performed microscopy tests
- 300
- Other nonwaived tests
- 800
- Total
- 1,350
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Providence ST Jude Yorba Linda Dermatology in Yorba Linda?
05D1082749, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence ST Jude Yorba Linda Dermatology hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D1082749 expire?
The CMS file lists April 22, 2027 as the certificate expiration date; the certificate took effect April 23, 2025.