05D1080955 CLIA NUMBER - DERMATOPATHOLOGY INSTITUTE

Laboratory Demographics

  • CLIA Code: 05D1080955
  • Facility Name: DERMATOPATHOLOGY INSTITUTE
  • Facility Address: 3870 DEL AMO BLVD STE 507
    TORRANCE, CA
    ZIP 90503
  • Facility Phone: 310 561-8503
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: PAUL K. SHITABATA
  • NPI Number: 1205004280
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D1080955
LAB Type Independent
Facility Name DERMATOPATHOLOGY INSTITUTE
Street 3870 DEL AMO BLVD STE 507
City TORRANCE
State CA
ZIP 90503
Phone 310 561-8503
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 12/9/2022
Certificate Expiration Date 10/31/2025
Facility Type Independent
Lab Director PAUL K. SHITABATA

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