05D1079683 CLIA NUMBER - DERMATOLOGY PROFESSIONALS INC

Laboratory Demographics

  • CLIA Code: 05D1079683
  • Facility Name: DERMATOLOGY PROFESSIONALS INC
  • Facility Address: 9878 HIBERT ST, STE 100
    SAN DIEGO, CA
    ZIP 92131
  • Facility Phone: 858 693-3000
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: BRYAN K. CHEN
  • NPI Number: 1316136740
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D1079683
LAB Type Physician Office
Facility Name DERMATOLOGY PROFESSIONALS INC
Street 9878 HIBERT ST, STE 100
City SAN DIEGO
State CA
ZIP 92131
Phone 858 693-3000
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 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Physician Office
Lab Director BRYAN K. CHEN

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