05D2205019 CLIA NUMBER - MALIBU PATHOLOGY

Laboratory Demographics

  • CLIA Code: 05D2205019
  • Facility Name: MALIBU PATHOLOGY
  • Facility Address: 28720 ROADSIDE DR, STE 250
    AGOURA HILLS, CA
    ZIP 91301
  • Facility Phone: 818 597-1938
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. CHUANYI M. LU
  • NPI Number: 1184207730
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2205019
LAB Type Independent
Facility Name MALIBU PATHOLOGY
Street 28720 ROADSIDE DR, STE 250
City AGOURA HILLS
State CA
ZIP 91301
Phone 818 597-1938
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 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Independent
Lab Director DR. CHUANYI M. LU

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