CLIA lab
CLIA 05D2054758: Mohs Micrographic Surgery Laboratory
Fremont, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2054758 belongs to Mohs Micrographic Surgery Laboratory in Fremont, CA.
Certificate of Compliance, effective September 17, 2023, expires October 31, 2026.
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 17, 2023
- Certificate expiration
- October 31, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 27, 2013
- Facility type
- Other
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2054758
- Lab name
- Mohs Micrographic Surgery Laboratory
- Additional name
- Department of Dermatology
- Address
- 3140 Kearney St, Bldg 2, 2nd Fl, Dermatology Bldg 2, 2nd Fl Procedure Rm, Fremont, CA 94538
- Phone
- (510) 498-2786
- Fax
- (510) 498-2645
Annual test volume the lab reported
- Provider-performed microscopy tests
- 125
- Other nonwaived tests
- 425
- Total
- 550
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Fremont, CA
- Aegis Assisted Living of FremontCertificate of Waiver, Assisted living facility05D2046105
- Aegis GardensCertificate of Waiver, Assisted living facility05D2046363
- Anodyne Hospice Care IncCertificate of Waiver, Hospice05D2223271
- Arbor Vita CorporationCertificate of Compliance, Independent05D2194942
- Asian HealthlinkCertificate of Waiver, Physician office05D2107621
- Asian Medical Clinic of FremontCertificate for Provider-Performed Microscopy Procedures, Physician office05D2014446
- BHC Fremont Hospital (In-Patient/Out-Patient)Certificate of Waiver, Hospital05D0643731
- Bay Area Community Health - Mowry I ClinicCertificate of Waiver, Mobile lab05D2319920
- Bma FremontCertificate of Waiver, End stage renal disease dialysis facility05D0726465
- Bonnie Huang Hall, MD PHDCertificate of Waiver, Physician office05D2148585
Related
Questions
What is the CLIA number for Mohs Micrographic Surgery Laboratory in Fremont?
05D2054758, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mohs Micrographic Surgery Laboratory hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D2054758 expire?
The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect September 17, 2023.