05D0642432 CLIA NUMBER - UCLA ORAL PATHOLOGY LABORATORY

Laboratory Demographics

CLIA Number: 05D0642432

Facility Name: UCLA ORAL PATHOLOGY LABORATORY

Facility Address:
10833 LECONTE AVE, RM# 53-058 CHS
LOS ANGELES, CA
ZIP 90095
Get Directions

Facility Phone Number: 310 825-6848

Facility Type: Other - UNIVERSITY

Certificate Type: Certificate of Compliance

NPI Number: 1992766000

Taxonomy: 292200000X - Dental Laboratory
A commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays.

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
CertificateType	2
CertificateEffectiveDate	9/14/2022
CertificateExpirationDate	9/13/2024
FacilityType	Compliance

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024