05D1029907 CLIA NUMBER - GOLDEN STATE DERMATOLOGY ASSOCIATES, INC

Laboratory Demographics

  • CLIA Code: 05D1029907
  • Facility Name: GOLDEN STATE DERMATOLOGY ASSOCIATES, INC
  • Facility Address: 5400 BALBOA BLVD STE 220
    ENCINO, CA
    ZIP 91316
  • Facility Phone: 310 274-5372
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: EDGAR F. FINCHER MD
  • NPI Number: 1922683077
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D1029907
LAB Type Physician Office
Facility Name GOLDEN STATE DERMATOLOGY ASSOCIATES, INC
Street 5400 BALBOA BLVD STE 220
City ENCINO
State CA
ZIP 91316
Phone 310 274-5372
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 6/3/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director EDGAR F. FINCHER MD

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