05D2027115 CLIA NUMBER - LAGUNA HILLS PATHOLOGY LAB INC

Laboratory Demographics

  • CLIA Code: 05D2027115
  • Facility Name: LAGUNA HILLS PATHOLOGY LAB INC
  • Facility Address: 300 UTAH AVE STE 150
    SOUTH SAN FRANCISCO, CA
    ZIP 94080
  • Facility Phone: 650 835-4477
  • Facility Type: Other - PATHOLOGY LAB
  • Facility Type: Accreditation
  • Lab Director: DR. ANTHONY R. VICTORIO
  • NPI Number: 1831440940
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2027115
LAB Type Other - PATHOLOGY LAB
Facility Name LAGUNA HILLS PATHOLOGY LAB INC
Street 300 UTAH AVE STE 150
City SOUTH SAN FRANCISCO
State CA
ZIP 94080
Phone 650 835-4477
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Other - PATHOLOGY LAB
Lab Director DR. ANTHONY R. VICTORIO

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