05D0984823 CLIA NUMBER - NICOLAS R DELA PENA MD

Laboratory Demographics

  • CLIA Code: 05D0984823
  • Facility Name: NICOLAS R DELA PENA MD
  • Facility Address: 3389 G STREET, STE A
    MERCED, CA
    ZIP 95340
  • Facility Phone: 209 722-1205
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICOLAS R. DELA PENA
  • NPI Number: 1043204605
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0984823
LAB Type Physician Office
Facility Name NICOLAS R DELA PENA MD
Street 3389 G STREET, STE A
City MERCED
State CA
ZIP 95340
Phone 209 722-1205
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Physician Office
Lab Director NICOLAS R. DELA PENA

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