05D2079165 CLIA NUMBER - DIAMOND PATHOLOGY, LLC

Laboratory Demographics

  • CLIA Code: 05D2079165
  • Facility Name: DIAMOND PATHOLOGY, LLC
  • Facility Address: 12595 HESPERIA RD STE 101
    VICTORVILLE, CA
    ZIP 92395
  • Facility Phone: 760 881-3377
  • Facility Type: Other - LABORATORY
  • Facility Type: Certificate of Compliance
  • Lab Director: REGINA I. DE LUNA
  • NPI Number: 1558186650
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 05D2079165
LAB Type Other - LABORATORY
Facility Name DIAMOND PATHOLOGY, LLC
Street 12595 HESPERIA RD STE 101
City VICTORVILLE
State CA
ZIP 92395
Phone 760 881-3377
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 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Other - LABORATORY
Lab Director REGINA I. DE LUNA

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