05D0943582 CLIA NUMBER - UCLA DERMATOLOGY AND MOHS MICROGRAPHIC SURGERY LABORATORY

Laboratory Demographics

  • CLIA Code: 05D0943582
  • Facility Name: UCLA DERMATOLOGY AND MOHS MICROGRAPHIC SURGERY LABORATORY
  • Facility Address: 200 UCLA MEDICAL PLAZA, STE 465
    LOS ANGELES, CA
    ZIP 90095
  • Facility Phone: 310 301-8658
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. TERESA SORIANO
  • NPI Number: 1255660171
  • Taxonomy: 281PC2000X - Chronic Disease Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D0943582
LAB Type Physician Office
Facility Name UCLA DERMATOLOGY AND MOHS MICROGRAPHIC SURGERY LABORATORY
Street 200 UCLA MEDICAL PLAZA, STE 465
City LOS ANGELES
State CA
ZIP 90095
Phone 310 301-8658
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 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Physician Office
Lab Director DR. TERESA SORIANO

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