05D1070461 CLIA NUMBER - GOLDEN STATE DERMATOLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 05D1070461
  • Facility Name: GOLDEN STATE DERMATOLOGY ASSOCIATES
  • Facility Address: 2490 HOSPITAL DR, STE 201
    MOUNTAIN VIEW, CA
    ZIP 94040
  • Facility Phone: 650 962-4600
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ANDREW B. MENKES MD
  • NPI Number: 1306905088
  • Taxonomy: 207NS0135X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D1070461
LAB Type Physician Office
Facility Name GOLDEN STATE DERMATOLOGY ASSOCIATES
Street 2490 HOSPITAL DR, STE 201
City MOUNTAIN VIEW
State CA
ZIP 94040
Phone 650 962-4600
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 6/30/2024
Certificate Expiration Date 6/29/2026
Facility Type Physician Office
Lab Director ANDREW B. MENKES MD

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