05D0642432 CLIA NUMBER - UCLA ORAL PATHOLOGY LABORATORY

Laboratory Demographics

  • CLIA Code: 05D0642432
  • Facility Name: UCLA ORAL PATHOLOGY LABORATORY
  • Facility Address: 10833 LECONTE AVE, RM# 53-058 CHS
    LOS ANGELES, CA
    ZIP 90095
  • Facility Phone: 310 825-6848
  • Facility Type: Other - UNIVERSITY
  • Facility Type: Certificate of Compliance
  • Lab Director: YI LING LIN
  • NPI Number: 1992766000
  • Taxonomy: 292200000X - Dental Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D0642432
LAB Type Other - UNIVERSITY
Facility Name UCLA ORAL PATHOLOGY LABORATORY
Street 10833 LECONTE AVE, RM# 53-058 CHS
City LOS ANGELES
State CA
ZIP 90095
Phone 310 825-6848
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 9/14/2022
Certificate Expiration Date 10/31/2025
Facility Type Other - UNIVERSITY
Lab Director YI LING LIN

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