05D2138289 CLIA NUMBER - MCCRAY DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 05D2138289
  • Facility Name: MCCRAY DERMATOLOGY
  • Facility Address: 623 WEST AVE Q STE E
    PALMDALE, CA
    ZIP 93551
  • Facility Phone: 661 947-3700
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MICHAEL K. MCCRAY
  • NPI Number: 1518189810
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D2138289
LAB Type Physician Office
Facility Name MCCRAY DERMATOLOGY
Street 623 WEST AVE Q STE E
City PALMDALE
State CA
ZIP 93551
Phone 661 947-3700
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 8/3/2022
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. MICHAEL K. MCCRAY

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