05D0984823 CLIA NUMBER - NICOLAS R DELA PENA MD

Laboratory Demographics

CLIA Number: 05D0984823

Facility Name: NICOLAS R DELA PENA MD

Facility Address:
3389 G STREET, STE A
MERCED, CA
ZIP 95340
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Facility Phone Number: 209 722-1205

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1043204605

Taxonomy: 207RI0200X - Internal Medicine
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

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
CertificateType	4
CertificateEffectiveDate	3/30/2023
CertificateExpirationDate	3/29/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024