05D1089792 CLIA NUMBER - NOEL C DAVID, MD, INC

Laboratory Demographics

  • CLIA Code: 05D1089792
  • Facility Name: NOEL C DAVID, MD, INC
  • Facility Address: 250 CHERRY LANE, SUITE 111
    MANTECA, CA
    ZIP 95337
  • Facility Phone: 209 239-4515
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID C. NOEL, MD
  • NPI Number: 1356483887
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1089792
LAB Type Physician Office
Facility Name NOEL C DAVID, MD, INC
Street 250 CHERRY LANE, SUITE 111
City MANTECA
State CA
ZIP 95337
Phone 209 239-4515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Physician Office
Lab Director DAVID C. NOEL, MD

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