05D0954151 CLIA NUMBER - DERMATOLOGY AND REJUVENATION MEDICAL CENTER INC

Laboratory Demographics

  • CLIA Code: 05D0954151
  • Facility Name: DERMATOLOGY AND REJUVENATION MEDICAL CENTER INC
  • Facility Address: 2230 LYNN RD STE 105
    THOUSAND OAKS, CA
    ZIP 91360
  • Facility Phone: 805 496-6611
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: COMRON MALEKI
  • NPI Number: 1841487600
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D0954151
LAB Type Physician Office
Facility Name DERMATOLOGY AND REJUVENATION MEDICAL CENTER INC
Street 2230 LYNN RD STE 105
City THOUSAND OAKS
State CA
ZIP 91360
Phone 805 496-6611
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 7/29/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director COMRON MALEKI

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