05D2308609 CLIA NUMBER - H DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 05D2308609
  • Facility Name: H DERMATOLOGY
  • Facility Address: 11900 SOUTH STREET # 118
    CERRITOS, CA
    ZIP 90703
  • Facility Phone: 562 298-7334
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TIMOTHY H. ALMAZAN
  • NPI Number: 1477303824
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D2308609
LAB Type Physician Office
Facility Name H DERMATOLOGY
Street 11900 SOUTH STREET # 118
City CERRITOS
State CA
ZIP 90703
Phone 562 298-7334
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 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Physician Office
Lab Director TIMOTHY H. ALMAZAN

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