03D1061546 CLIA NUMBER - NOVAKOVIC FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 03D1061546
  • Facility Name: NOVAKOVIC FAMILY PRACTICE
  • Facility Address: 20823 N CAVE CREEK RD #102
    PHOENIX, AZ
    ZIP 85024
  • Facility Phone: 480 775-4700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETAR N. NOVAKOVIC, MD
  • NPI Number: 1316982481
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D1061546
LAB Type Physician Office
Facility Name NOVAKOVIC FAMILY PRACTICE
Street 20823 N CAVE CREEK RD #102
City PHOENIX
State AZ
ZIP 85024
Phone 480 775-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Physician Office
Lab Director PETAR N. NOVAKOVIC, MD

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