LAGUNA HILLS PATHOLOGY LAB LLC
NPI 1831440940
Clinical Medical Laboratory in South San Francisco, CA

Active since September 28, 2012CLIA 05D2027115 · Accreditation
300 UTAH AVE, STE 150, SOUTH SAN FRANCISCO, CA 94080(650) 835-4477 Get Directions Write a Review

NPPES record last updated: April 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laguna Hills Pathology Lab Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAGUNA HILLS PATHOLOGY LAB LLC (NPI 1831440940) is a healthcare organization registered as a clinical medical laboratory in South San Francisco, California and active in the NPI registry since September 2012. The organization holds an CLIA Accreditation certificate valid through August 28, 2026 and lists Richard K. Jacques, President, as its authorized official.

NPPES Registry Identity

NPI1831440940
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameLAGUNA HILLS PATHOLOGY LAB LLC
Location Address300 UTAH AVE, STE 150South San Francisco, CA 94080-6800
Mailing Address401 Commerce St, Ste 600Nashville, TN 37219-2446 · (615) 345-6900 · Fax (615) 691-7214
Organization SubpartNo
Authorized OfficialRichard K. JacquesPresident · (615) 345-6900
Enumeration DateSeptember 28, 2012
Last NPPES UpdateApril 13, 2016
NPI 1831440940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
300 UTAH AVE, South San Francisco, CA 94080

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D2027115

Laguna Hills Pathology Lab Inc · South San Francisco, CA
Active · expires Aug 28, 2026
CLIA Number05D2027115
Laboratory TypePathology Lab
Certificate Effective DateAugust 29, 2024
Certificate Expiration DateAugust 28, 2026
Laboratory DirectorDr. Anthony R. Victorio
Laboratory Phone(650) 835-4477
Laboratory LocationLaguna Hills Pathology Lab Inc300 Utah Ave Ste 150, South San Francisco, CA 94080
CLIA data matches this NPI record on: Address Name Phone
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
6,628 services2,788 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
1,062 services971 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
142 services69 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
69 services60 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
12 services11 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
300 UTAH AVE, SUITE 150
SOUTH SAN FRANCISCO, CA 94080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laguna Hills Pathology Lab LLC's NPI number?

The NPI number for Laguna Hills Pathology Lab LLC is 1831440940. It was assigned to this organization in the NPPES registry on September 28, 2012.

Where is Laguna Hills Pathology Lab LLC located?

Laguna Hills Pathology Lab LLC is located at 300 Utah Ave Ste 150, South San Francisco, CA 94080. The listed phone number is (650) 835-4477.

What is Laguna Hills Pathology Lab LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Laguna Hills Pathology Lab LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D2027115) is associated with this NPI, valid through August 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Laguna Hills Pathology Lab LLC was last updated on April 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.