CLIA lab

CLIA 05D2288775: Island Dermatology

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

CLIA number 05D2288775 belongs to Island Dermatology in Santa Ana, CA.

Certificate of Waiver, effective August 30, 2025, expires August 29, 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
August 30, 2025
Certificate expiration
August 29, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 30, 2023
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
4

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2288775
Lab name
Island Dermatology
Additional name
DBA Santa Ana Dermatology
Address
2621 S Bristol St Suite 309, Santa Ana, CA 92704
Phone
(949) 720-1170
Fax
(949) 720-1172

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.

Affiliated CLIA numbers

Other labs in Santa Ana, CA

Related

Questions

What is the CLIA number for Island Dermatology in Santa Ana?

05D2288775, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Island Dermatology hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2288775 expire?

The CMS file lists August 29, 2027 as the certificate expiration date; the certificate took effect August 30, 2025.

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