05D0966774 CLIA NUMBER - WESTCHESTER DERMATOLOGY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 05D0966774
  • Facility Name: WESTCHESTER DERMATOLOGY MEDICAL CLINIC
  • Facility Address: 8930 S SEPULVEDA BLVD STE 104
    LOS ANGELES, CA
    ZIP 90045
  • Facility Phone: 310 645-6001
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SHERRI I. PEACE
  • NPI Number: 1205930252
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D0966774
LAB Type Physician Office
Facility Name WESTCHESTER DERMATOLOGY MEDICAL CLINIC
Street 8930 S SEPULVEDA BLVD STE 104
City LOS ANGELES
State CA
ZIP 90045
Phone 310 645-6001
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 7/27/2022
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director SHERRI I. PEACE

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