CLIA lab

CLIA 05D2276197: Pacific Dermatology Specialists

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

CLIA number 05D2276197 belongs to Pacific Dermatology Specialists in Redondo Beach, CA.

Certificate of Waiver, effective December 20, 2025, expires December 19, 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 Waiver
Certificate effective
December 20, 2025
Certificate expiration
December 19, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 3, 2023
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
05D2276197
Lab name
Pacific Dermatology Specialists
Address
217 Avenida Del Norte, Redondo Beach, CA 90277
Phone
(217) 503-0983
Fax
(310) 540-1056

Annual test volume the lab reported

Waived tests
100

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 Pacific Dermatology Specialists in Redondo Beach?

05D2276197, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pacific Dermatology Specialists hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2276197 expire?

The CMS file lists December 19, 2027 as the certificate expiration date; the certificate took effect December 20, 2025.

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