05D2176566 CLIA NUMBER - LUNGLIFE AI

Laboratory Demographics

  • CLIA Code: 05D2176566
  • Facility Name: LUNGLIFE AI
  • Facility Address: 2545 W HILLCREST DR STE 140
    THOUSAND OAKS, CA
    ZIP 91320
  • Facility Phone: 805 409-9868
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. ERIC VAIL
  • NPI Number: 1992119564
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2176566
LAB Type Independent
Facility Name LUNGLIFE AI
Street 2545 W HILLCREST DR STE 140
City THOUSAND OAKS
State CA
ZIP 91320
Phone 805 409-9868
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 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Independent
Lab Director DR. ERIC VAIL

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