05D0981369 CLIA NUMBER - HELENE NOVESTERAS MD, A PMC

Laboratory Demographics

  • CLIA Code: 05D0981369
  • Facility Name: HELENE NOVESTERAS MD, A PMC
  • Facility Address: 1530 N BESSIE AVE, STE 106
    TRACY, CA
    ZIP 95376
  • Facility Phone: 209 833-3386
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HELENE P. NOVESTERAS MD
  • NPI Number: 1659324101
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0981369
LAB Type Physician Office
Facility Name HELENE NOVESTERAS MD, A PMC
Street 1530 N BESSIE AVE, STE 106
City TRACY
State CA
ZIP 95376
Phone 209 833-3386
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Physician Office
Lab Director HELENE P. NOVESTERAS MD

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