05D2073519 CLIA NUMBER - DERMTECH

Laboratory Demographics

  • CLIA Code: 05D2073519
  • Facility Name: DERMTECH
  • Facility Address: 12340 EL CAMINO REAL
    SAN DIEGO, CA
    ZIP 92130
  • Facility Phone: 858 450-4222
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. BASHAR DABBAS
  • NPI Number: 1598173502
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2073519
LAB Type Independent
Facility Name DERMTECH
Street 12340 EL CAMINO REAL
City SAN DIEGO
State CA
ZIP 92130
Phone 858 450-4222
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Independent
Lab Director DR. BASHAR DABBAS

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