CLIA lab
CLIA 05D2228655: Golden State Dermatology
Tracy, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2228655 belongs to Golden State Dermatology in Tracy, CA.
Certificate of Compliance, effective February 5, 2025, expires February 4, 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 5, 2025
- Certificate expiration
- February 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 29, 2021
- 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
- 05D2228655
- Lab name
- Golden State Dermatology
- Additional name
- - 11th Street, Tracy
- Address
- 632 W 11th St, Ste 219, Tracy, CA 95376
- Phone
- (209) 836-2220
- Fax
- (209) 622-1618
Annual test volume the lab reported
- Waived tests
- 1
- Other nonwaived tests
- 524
- Total
- 525
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Co Occupational Medical PartnersCertificate of Waiver, Physician office05D2194804
- Crisis Pregnancy Center of TracyCertificate of Waiver, Other05D1031050
- Delta Eye Medical Group, Inc.Certificate of Waiver, Physician office05D2060650
- Grant Line DialysisCertificate of Waiver, End stage renal disease dialysis facility05D2182931
- Great Valley Home Health LLCCertificate of Waiver, Home health agency05D2181717
- Heart 2 Heart Home Health CareCertificate of Waiver, Home health agency05D2314591
- Helene Novesteras MD, A PMCCertificate of Waiver, Physician office05D0981369
Related
Questions
What is the CLIA number for Golden State Dermatology in Tracy?
05D2228655, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Golden State Dermatology hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D2228655 expire?
The CMS file lists February 4, 2027 as the certificate expiration date; the certificate took effect February 5, 2025.