05D0993231 CLIA NUMBER - ABLON SKIN INSTITUTE

Laboratory Demographics

  • CLIA Code: 05D0993231
  • Facility Name: ABLON SKIN INSTITUTE
  • Facility Address: 1600 ROSECRANS BLVD SUITE 12
    MANHATTAN BEACH, CA
    ZIP 90266
  • Facility Phone: 310 727-3376
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: GLYNIS ABLON MD
  • NPI Number: 1144265893
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D0993231
LAB Type Practitioner Other
Facility Name ABLON SKIN INSTITUTE
Street 1600 ROSECRANS BLVD SUITE 12
City MANHATTAN BEACH
State CA
ZIP 90266
Phone 310 727-3376
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 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Practitioner Other
Lab Director GLYNIS ABLON MD

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