05D2133499 CLIA NUMBER - ROY NINI MD, INC

Laboratory Demographics

  • CLIA Code: 05D2133499
  • Facility Name: ROY NINI MD, INC
  • Facility Address: 16311 VENTURA BLVD STE 1280
    FULLERTON, CA
    ZIP 92835
  • Facility Phone: 855 906-7246
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROY NINI MD
  • NPI Number: 1689844672
  • Taxonomy: 2081S0010X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 05D2133499
LAB Type Physician Office
Facility Name ROY NINI MD, INC
Street 16311 VENTURA BLVD STE 1280
City FULLERTON
State CA
ZIP 92835
Phone 855 906-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Physician Office
Lab Director ROY NINI MD

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