05D2072630 CLIA NUMBER - PURE DERMATOLOGY AND SKIN SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2072630
  • Facility Name: PURE DERMATOLOGY AND SKIN SURGERY CENTER
  • Facility Address: 2001 SANTA MONICA BLVD STE 480-W
    SANTA MONICA, CA
    ZIP 90404
  • Facility Phone: 310 954-9501
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: PARRISH SADEGHI, MD
  • NPI Number: 1598109167
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D2072630
LAB Type Physician Office
Facility Name PURE DERMATOLOGY AND SKIN SURGERY CENTER
Street 2001 SANTA MONICA BLVD STE 480-W
City SANTA MONICA
State CA
ZIP 90404
Phone 310 954-9501
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 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Physician Office
Lab Director PARRISH SADEGHI, MD

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