CLIA lab

CLIA 05D2075709: Southern Marin Dermatology Inc

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

CLIA number 05D2075709 belongs to Southern Marin Dermatology Inc in Sausalito, CA.

Certificate of Compliance, effective October 20, 2024, expiration date October 19, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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
October 20, 2024
Certificate expiration
October 19, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
April 2, 2014
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
05D2075709
Lab name
Southern Marin Dermatology Inc
Address
2330 Marinship Way, Ste 370, Sausalito, CA 94965
Phone
(415) 887-9758
Fax
(415) 887-9763

Annual test volume the lab reported

Waived tests
80
Provider-performed microscopy tests
6
Other nonwaived tests
106
Total
192

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

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Questions

What is the CLIA number for Southern Marin Dermatology Inc in Sausalito?

05D2075709, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Southern Marin Dermatology Inc hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 05D2075709 expire?

The CMS file lists October 19, 2026 as the certificate expiration date; the certificate took effect October 20, 2024.

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