CLIA lab
CLIA 05D2117561: Golden State Dermatology Associates Inc
Simi Valley, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2117561 belongs to Golden State Dermatology Associates Inc in Simi Valley, CA.
Certificate of Compliance, effective May 17, 2025, expires May 16, 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
- May 17, 2025
- Certificate expiration
- May 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 18, 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
- 05D2117561
- Lab name
- Golden State Dermatology Associates Inc
- Address
- 135 Macaw Ln, Ste 200, Simi Valley, CA 93065
- Phone
- (818) 505-9300
- Fax
- (818) 505-9292
Annual test volume the lab reported
- Other nonwaived tests
- 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 Simi Valley, CA
- 31st State Medical CorpCertificate of Accreditation, Physician office05D2297174
- A - 1 Home Health Services IncCertificate of Waiver, Home health agency05D0993671
- Abdul Nawabi, MD IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D0981292
- Absolute Comfort Home Healthcare, IncCertificate of Waiver, Home health agency05D2319123
- Advanced Adult Day Health Care CenterCertificate of Waiver, Ambulance05D1002037
- Adventist Health Physicians NetworkCertificate for Provider-Performed Microscopy Procedures, Physician office05D0971038
- Adventist Health Physicians NetworkCertificate for Provider-Performed Microscopy Procedures, Physician office05D0981293
- Adventist Health Simi ValleyCertificate of Accreditation, Hospital05D0584279
- Adventist Health Simi ValleyCertificate of Waiver, Hospital05D1024942
- Aegis Treatment Centers, LLCCertificate of Waiver, Other05D0973349
Related
Questions
What is the CLIA number for Golden State Dermatology Associates Inc in Simi Valley?
05D2117561, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Golden State Dermatology Associates Inc hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D2117561 expire?
The CMS file lists May 16, 2027 as the certificate expiration date; the certificate took effect May 17, 2025.