05D2077775 CLIA NUMBER - PATRICK T NOLL DC

Laboratory Demographics

  • CLIA Code: 05D2077775
  • Facility Name: PATRICK T NOLL DC
  • Facility Address: 1011 S ANTA FE AVE STE F
    VISTA, CA
    ZIP 92083
  • Facility Phone: 760 726-1211
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: PATRICK NOLL
  • NPI Number: 1982626263
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 05D2077775
LAB Type Practitioner Other
Facility Name PATRICK T NOLL DC
Street 1011 S ANTA FE AVE STE F
City VISTA
State CA
ZIP 92083
Phone 760 726-1211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Practitioner Other
Lab Director PATRICK NOLL

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