05D2107950 CLIA NUMBER - WESTERN PATHOLOGY INC

Laboratory Demographics

  • CLIA Code: 05D2107950
  • Facility Name: WESTERN PATHOLOGY INC
  • Facility Address: 3440 EMPRESA DR, STE B
    SAN LUIS OBISPO, CA
    ZIP 93401
  • Facility Phone: 805 543-5000
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: KURT F. LUNDQUIST
  • NPI Number: 1780924233
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 05D2107950
LAB Type Independent
Facility Name WESTERN PATHOLOGY INC
Street 3440 EMPRESA DR, STE B
City SAN LUIS OBISPO
State CA
ZIP 93401
Phone 805 543-5000
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 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Independent
Lab Director KURT F. LUNDQUIST

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