05D2298819 CLIA NUMBER - HILLSIDE DERMATOLOGY INC

Laboratory Demographics

  • CLIA Code: 05D2298819
  • Facility Name: HILLSIDE DERMATOLOGY INC
  • Facility Address: 24520 HAWTHORNE BLVD STE 240
    TORRANCE, CA
    ZIP 90505
  • Facility Phone: 310 300-6206
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ALBERT ANTONYAN
  • NPI Number: 1851174924
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D2298819
LAB Type Physician Office
Facility Name HILLSIDE DERMATOLOGY INC
Street 24520 HAWTHORNE BLVD STE 240
City TORRANCE
State CA
ZIP 90505
Phone 310 300-6206
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 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Physician Office
Lab Director ALBERT ANTONYAN

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