05D2065234 CLIA NUMBER - MISSION DERMATOLOGY CENTER

Laboratory Demographics

  • CLIA Code: 05D2065234
  • Facility Name: MISSION DERMATOLOGY CENTER
  • Facility Address: 29829 SANTA MARGARITA PKWY STE 500
    RANCHO SANTA MARGARITA, CA
    ZIP 92688
  • Facility Phone: 949 858-3376
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. SHIREEN V. GUIDE
  • NPI Number: 1497098966
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D2065234
LAB Type Physician Office
Facility Name MISSION DERMATOLOGY CENTER
Street 29829 SANTA MARGARITA PKWY STE 500
City RANCHO SANTA MARGARITA
State CA
ZIP 92688
Phone 949 858-3376
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 6/12/2024
Certificate Expiration Date 6/11/2026
Facility Type Physician Office
Lab Director DR. SHIREEN V. GUIDE

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