05D2320589 CLIA NUMBER - SKINCREDIBLE DERMATOLOGY & SURGERY

Laboratory Demographics

  • CLIA Code: 05D2320589
  • Facility Name: SKINCREDIBLE DERMATOLOGY & SURGERY
  • Facility Address: 31655 COAST HWY STE A
    LAGUNA BEACH, CA
    ZIP 92651
  • Facility Phone: 949 545-6605
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: FARAH C. AWADALLA
  • NPI Number: 1649016320
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D2320589
LAB Type Physician Office
Facility Name SKINCREDIBLE DERMATOLOGY & SURGERY
Street 31655 COAST HWY STE A
City LAGUNA BEACH
State CA
ZIP 92651
Phone 949 545-6605
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 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Physician Office
Lab Director FARAH C. AWADALLA

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