05D0544561 CLIA NUMBER - TOWER DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 05D0544561
  • Facility Name: TOWER DERMATOLOGY
  • Facility Address: 8631 W 3RD ST STE 1035E
    LOS ANGELES, CA
    ZIP 90048
  • Facility Phone: 310 659-9075
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRIAN P. MEKELBURG
  • NPI Number: 1548276009
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0544561
LAB Type Physician Office
Facility Name TOWER DERMATOLOGY
Street 8631 W 3RD ST STE 1035E
City LOS ANGELES
State CA
ZIP 90048
Phone 310 659-9075
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Physician Office
Lab Director BRIAN P. MEKELBURG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025