05D2085385 CLIA NUMBER - ADVANCED DERMATOLOGY INC

Laboratory Demographics

  • CLIA Code: 05D2085385
  • Facility Name: ADVANCED DERMATOLOGY INC
  • Facility Address: 34213 PACIFIC COAST HWY
    DANA POINT, CA
    ZIP 92629
  • Facility Phone: 949 248-4547
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MARYAM MOINFAR MD
  • NPI Number: 1336220540
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D2085385
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGY INC
Street 34213 PACIFIC COAST HWY
City DANA POINT
State CA
ZIP 92629
Phone 949 248-4547
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 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Physician Office
Lab Director DR. MARYAM MOINFAR MD

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