CLIA lab
CLIA 05D2113648: El Segundo Dermatology Inc
El Segundo, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2113648 belongs to El Segundo Dermatology Inc in El Segundo, CA.
Certificate of Compliance, effective February 9, 2025, expires February 8, 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
- February 9, 2025
- Certificate expiration
- February 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 26, 2016
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 05D2113648
- Lab name
- El Segundo Dermatology Inc
- Address
- 713 N Douglas St, El Segundo, CA 90245
- Phone
- (310) 906-2788
- Fax
- (310) 906-2786
Annual test volume the lab reported
- Other nonwaived tests
- 532
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in El Segundo, CA
- Boeing CompanyCertificate of Waiver, Other05D0862487
- Cedars-Sinai Medical Care FoundationCertificate of Waiver, Physician office05D0979068
- Chan Soon-Shiong Institute for MedicineCertificate of Accreditation, Physician office05D2144811
- Chevron Refinery Clinic -El SegundoCertificate of Waiver, Industrial05D0689540
- Concentra - El Segundo LaxCertificate of Waiver, Physician office05D0903814
- El Segundo Endoscopy Center LLCCertificate of Waiver, Ambulatory surgery center05D2264119
- Goodlife Physical MedicineCertificate of Waiver, Physician office05D2188514
- Love Life MedicalCertificate of Waiver, Physician office05D2307224
- Michael F Mellman MDCertificate of Waiver, Physician office05D0975505
- Millenium Health and Fitness, IncCertificate of Waiver, Health fair05D2272797
Related
Questions
What is the CLIA number for El Segundo Dermatology Inc in El Segundo?
05D2113648, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does El Segundo Dermatology Inc hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D2113648 expire?
The CMS file lists February 8, 2027 as the certificate expiration date; the certificate took effect February 9, 2025.