CLIA lab
CLIA 05D2279764: Hodari MD Dermatology
Chico, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2279764 belongs to Hodari MD Dermatology in Chico, CA.
Certificate for Provider-Performed Microscopy Procedures, effective April 6, 2025, expires April 5, 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
- April 6, 2025
- Certificate expiration
- April 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 6, 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
- 05D2279764
- Lab name
- Hodari MD Dermatology
- Address
- 95 Declaration Dr, Chico, CA 95973
- Phone
- (530) 809-0718
- Fax
- (530) 342-4199
Annual test volume the lab reported
- Provider-performed microscopy tests
- 10
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 Hodari MD Dermatology in Chico?
05D2279764, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hodari MD Dermatology hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D2279764 expire?
The CMS file lists April 5, 2027 as the certificate expiration date; the certificate took effect April 6, 2025.