05D2324670 CLIA NUMBER - THE DERMATOLOGY COLLECTIVE

Laboratory Demographics

  • CLIA Code: 05D2324670
  • Facility Name: THE DERMATOLOGY COLLECTIVE
  • Facility Address: 552 W FOOTHILL BLVD STE 202
    GLENDORA, CA
    ZIP 91741
  • Facility Phone: 626 240-2020
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CHRIS TOMASSIAN
  • NPI Number: 1720723448
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D2324670
LAB Type Physician Office
Facility Name THE DERMATOLOGY COLLECTIVE
Street 552 W FOOTHILL BLVD STE 202
City GLENDORA
State CA
ZIP 91741
Phone 626 240-2020
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 5/29/2025
Certificate Expiration Date 5/28/2027
Facility Type Physician Office
Lab Director CHRIS TOMASSIAN

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