05D0567097 CLIA NUMBER - DERMATOLOGY SPECIALISTS, INC

Laboratory Demographics

  • CLIA Code: 05D0567097
  • Facility Name: DERMATOLOGY SPECIALISTS, INC
  • Facility Address: 1309 S MISSION RD, STE A
    FALLBROOK, CA
    ZIP 92028
  • Facility Phone: 760 728-7546
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JOSEPH AMADY
  • NPI Number: 1457541260
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0567097
LAB Type Physician Office
Facility Name DERMATOLOGY SPECIALISTS, INC
Street 1309 S MISSION RD, STE A
City FALLBROOK
State CA
ZIP 92028
Phone 760 728-7546
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 DR. JOSEPH AMADY

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: 3/20/2025