CLIA lab
CLIA 05D2172866: UCLA Santa Monica Dermatology
Santa Monica, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2172866 belongs to UCLA Santa Monica Dermatology in Santa Monica, CA.
Certificate for Provider-Performed Microscopy Procedures, effective October 1, 2025, expires September 30, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- October 1, 2025
- Certificate expiration
- September 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 1, 2019
- Facility type
- Physician office
- Ownership (control type)
- Government, state
- 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
- 05D2172866
- Lab name
- UCLA Santa Monica Dermatology
- Address
- 2001 Santa Monica Blvd Suite 1070, Santa Monica, CA 90404
- Phone
- (310) 301-8658
Annual test volume the lab reported
- Waived tests
- 2,000
- Provider-performed microscopy tests
- 25
- Total
- 2,025
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for UCLA Santa Monica Dermatology in Santa Monica?
05D2172866, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does UCLA Santa Monica Dermatology hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2172866 expire?
The CMS file lists September 30, 2027 as the certificate expiration date; the certificate took effect October 1, 2025.