CLIA lab

CLIA 05D1094617: Coastal Medical & Cosmetic Dermatology

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

CLIA number 05D1094617 belongs to Coastal Medical & Cosmetic Dermatology in La Jolla, CA.

Certificate of Compliance, effective October 22, 2025, expires October 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
October 22, 2025
Certificate expiration
October 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 22, 2009
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
05D1094617
Lab name
Coastal Medical & Cosmetic Dermatology
Address
9850 Genesee Ave, Ste 850, La Jolla, CA 92037
Phone
(858) 657-0267
Fax
(858) 657-9485

Annual test volume the lab reported

Waived tests
1
Provider-performed microscopy tests
125
Other nonwaived tests
625
Total
751

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

Other labs in La Jolla, CA

Related

Questions

What is the CLIA number for Coastal Medical & Cosmetic Dermatology in La Jolla?

05D1094617, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Coastal Medical & Cosmetic Dermatology hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 05D1094617 expire?

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

Try it on your own data today.

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