05D2019838 CLIA NUMBER - PACIFIC COAST DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 05D2019838
  • Facility Name: PACIFIC COAST DERMATOLOGY
  • Facility Address: 13768 ROSWELL AVE STE 102
    CHINO, CA
    ZIP 91710
  • Facility Phone: 909 364-1959
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: TUAN A. HOANG-XUAN DO
  • NPI Number: 1750574075
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D2019838
LAB Type Physician Office
Facility Name PACIFIC COAST DERMATOLOGY
Street 13768 ROSWELL AVE STE 102
City CHINO
State CA
ZIP 91710
Phone 909 364-1959
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 8/17/2021
Certificate Expiration Date 6/30/2025
Facility Type Physician Office
Lab Director TUAN A. HOANG-XUAN DO

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This page was last updated on: 6/4/2025