05D0574034 CLIA NUMBER - J ROBERT WEST MD INC DBA WEST DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 05D0574034
  • Facility Name: J ROBERT WEST MD INC DBA WEST DERMATOLOGY
  • Facility Address: 1457 FORD ST, STE 105
    REDLANDS, CA
    ZIP 92373
  • Facility Phone: 909 793-2964
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: RONALD D. SHIELL MD
  • NPI Number: 1568928588
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0574034
LAB Type Physician Office
Facility Name J ROBERT WEST MD INC DBA WEST DERMATOLOGY
Street 1457 FORD ST, STE 105
City REDLANDS
State CA
ZIP 92373
Phone 909 793-2964
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/18/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director RONALD D. SHIELL MD

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