05D0566835 CLIA NUMBER - DERMATOLOGY SPECIALISTS INC

Laboratory Demographics

  • CLIA Code: 05D0566835
  • Facility Name: DERMATOLOGY SPECIALISTS INC
  • Facility Address: 838 NORDAHL RD, STE 250
    SAN MARCOS, CA
    ZIP 92069
  • Facility Phone: (760) 738-7600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ARUN VENKAT MD
  • NPI Number: 1578763876
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D0566835
LAB Type Physician Office
Facility Name DERMATOLOGY SPECIALISTS INC
Street 838 NORDAHL RD, STE 250
City SAN MARCOS
State CA
ZIP 92069
Phone 7607387600
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ARUN VENKAT MD

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This page was last updated on: 5/18/2026