05D2091579 CLIA NUMBER - MFA LIVINGSTON

Laboratory Demographics

  • CLIA Code: 05D2091579
  • Facility Name: MFA LIVINGSTON
  • Facility Address: 746 MAIN ST
    LIVINGSTON, CA
    ZIP 95334
  • Facility Phone: 209 398-2145
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NOSHABA R. CHUGHTAI
  • NPI Number: 1841603107
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2091579
LAB Type Physician Office
Facility Name MFA LIVINGSTON
Street 746 MAIN ST
City LIVINGSTON
State CA
ZIP 95334
Phone 209 398-2145
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Physician Office
Lab Director DR. NOSHABA R. CHUGHTAI

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