05D2169457 CLIA NUMBER - PRECISION PATHOLOGY MEDICAL GROUP INC

Laboratory Demographics

  • CLIA Code: 05D2169457
  • Facility Name: PRECISION PATHOLOGY MEDICAL GROUP INC
  • Facility Address: 4626 WILLOW RD STE 102
    PLEASANTON, CA
    ZIP 94588
  • Facility Phone: 209 577-1200
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: EMAD KAABIPOUR
  • NPI Number: 1295797355
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 05D2169457
LAB Type Independent
Facility Name PRECISION PATHOLOGY MEDICAL GROUP INC
Street 4626 WILLOW RD STE 102
City PLEASANTON
State CA
ZIP 94588
Phone 209 577-1200
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 9/20/2021
Certificate Expiration Date 10/31/2025
Facility Type Independent
Lab Director EMAD KAABIPOUR

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