Oral Pathology Lab

Location:5th Floor, UCLA School of Dentistry, Room 53-058 CHS

Provider Level:  Faculty

Services

The UCLA Oral Pathology Diagnostic Laboratory accepts biopsy and surgical tissue specimens for diagnosis from dentists and physicians in California and other states.  All services are provided by pathologists who are diplomates of the American Board of Oral and Maxillofacial Pathology (ABOMP).  We provide expert diagnostic services within the scope of Oral and Maxillofacial Pathology.

What to Expect as a New Patient

Billing Service Contact Information:

MTBC Health (Orion Rand Medical Billing) 
(805) 578-8300, Ext.14230
Fax: (805) 578-8950

Forms

• Acknowledgement Form (REV 07-2019).pdf (includes Billing Policy)

• Biopsy Kit Request Form

• Request to Release Slides

• Tissue Examination Request Form

• 8550 Medicare Form

• Opt-Out Affidavit (NOTE: Must also complete a Medicare Private Contract for each Medicare patient. See below).

• Medicare Private Contract (NOTE: Opt-Out doctors & Medicare patients to complete and retain in their office files). 

• Frequently Asked Questions

• Guidelines for Submitting Specimens

Hours

8:00 a.m. to 5:00 p.m. Monday through Friday

Contact Us

Mailing Address

UCLA School of Dentistry
UCLA Oral Pathology Diagnostic Laboratory
Room 53-058 CHS
Box 951668
Los Angeles, CA 90095-1668

Voicemail: Available anytime; calls will be answered on the next business day

Email Addresses: oralpathology@dent.ucla.edu or omfp@dent.ucla.edu