CLIA lab
CLIA 05D1102630: Dermatology and Laser Center of California
Manhattan Beach, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1102630 belongs to Dermatology and Laser Center of California in Manhattan Beach, CA.
Certificate for Provider-Performed Microscopy Procedures, effective September 10, 2026, expires September 9, 2028.
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
- September 10, 2026
- Certificate expiration
- September 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 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
- 05D1102630
- Lab name
- Dermatology and Laser Center of California
- Address
- 1200 Rosecrans Ave Suite 105, Manhattan Beach, CA 90266
- Phone
- (310) 546-7546
- Fax
- (310) 546-6777
Annual test volume the lab reported
- Provider-performed microscopy tests
- 70
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Manhattan Beach, CA
- Ablon Skin InstituteCertificate for Provider-Performed Microscopy Procedures, Other practitioner05D0993231
- Affection Home Health IncCertificate of Waiver, Home health agency05D2257710
- Ashley Magovern, MD IncCertificate of Compliance, Physician office05D2024185
- Beach Cities OrthopedicsCertificate of Waiver, Ambulatory surgery center05D2136153
- Clear Recovery CenterCertificate of Waiver, Other05D2279762
- Clear Recovery CenterCertificate of Waiver, Other05D2290215
- Exer Medical CorporationCertificate of Compliance, Other05D2142899
- Golden State Ambulatory Surgery CenterCertificate of Waiver, Ambulatory surgery center05D2323436
- Human Touch Home Health Care Agency, IncCertificate of Waiver, Home health agency05D0948118
- Human Touch Palliative and Hospice Care, IncCertificate of Waiver, Hospice05D1107016
Related
Questions
What is the CLIA number for Dermatology and Laser Center of California in Manhattan Beach?
05D1102630, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dermatology and Laser Center of California hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D1102630 expire?
The CMS file lists September 9, 2028 as the certificate expiration date; the certificate took effect September 10, 2026.