CLIA lab
CLIA 05D1094880: Scpmg Mohs Laboratory South Bay
Gardena, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1094880 belongs to Scpmg Mohs Laboratory South Bay in Gardena, CA.
Certificate of Compliance, effective September 15, 2025, expires September 14, 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
- September 15, 2025
- Certificate expiration
- September 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 28, 2009
- Facility type
- Health maintenance organization
- 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
- 05D1094880
- Lab name
- Scpmg Mohs Laboratory South Bay
- Address
- 18600 S Figueroa St, Gardena, CA 90248
- Phone
- (310) 516-2424
- Fax
- (818) 503-6532
Annual test volume the lab reported
- Other nonwaived tests
- 2,500
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 Scpmg Mohs Laboratory South Bay in Gardena?
05D1094880, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Scpmg Mohs Laboratory South Bay hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D1094880 expire?
The CMS file lists September 14, 2027 as the certificate expiration date; the certificate took effect September 15, 2025.