05D1074270 CLIA NUMBER - GOLDEN STATE DERMATOLOGY ASSOCIATES, INC

Laboratory Demographics

  • CLIA Code: 05D1074270
  • Facility Name: GOLDEN STATE DERMATOLOGY ASSOCIATES, INC
  • Facility Address: 20911 EARL ST STE 310
    TORRANCE, CA
    ZIP 90503
  • Facility Phone: 310 370-9970
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: AMBER A. KYLE MD
  • NPI Number: 1326123233
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D1074270
LAB Type Physician Office
Facility Name GOLDEN STATE DERMATOLOGY ASSOCIATES, INC
Street 20911 EARL ST STE 310
City TORRANCE
State CA
ZIP 90503
Phone 310 370-9970
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 6/30/2022
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director AMBER A. KYLE MD

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