05D2293854 CLIA NUMBER - DEREK HO MD PC DBA BESPOKE DERMATOLOGY & AESTHETICS

Laboratory Demographics

  • CLIA Code: 05D2293854
  • Facility Name: DEREK HO MD PC DBA BESPOKE DERMATOLOGY & AESTHETICS
  • Facility Address: 115 S. FIRST AVE
    ARCADIA, CA
    ZIP 91006
  • Facility Phone: 626 513-2619
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEREK HO
  • NPI Number: 1265973689
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D2293854
LAB Type Physician Office
Facility Name DEREK HO MD PC DBA BESPOKE DERMATOLOGY & AESTHETICS
Street 115 S. FIRST AVE
City ARCADIA
State CA
ZIP 91006
Phone 626 513-2619
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Physician Office
Lab Director DEREK HO

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