05D2096082 CLIA NUMBER - COASTAL DERMATOLOGY AND AESTHETICS

Laboratory Demographics

  • CLIA Code: 05D2096082
  • Facility Name: COASTAL DERMATOLOGY AND AESTHETICS
  • Facility Address: 7888 WREN AVE STE A110
    GILROY, CA
    ZIP 95020
  • Facility Phone: 408 713-2600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CLAYTON L. SCHILTZ, DO
  • NPI Number: 1285039206
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D2096082
LAB Type Physician Office
Facility Name COASTAL DERMATOLOGY AND AESTHETICS
Street 7888 WREN AVE STE A110
City GILROY
State CA
ZIP 95020
Phone 408 713-2600
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Physician Office
Lab Director CLAYTON L. SCHILTZ, DO

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