05D2146243 CLIA NUMBER - NOVOGENE LABORATORY

Laboratory Demographics

CLIA Number: 05D2146243

Facility Name: NOVOGENE LABORATORY

Facility Address:
2921 STOCKTON BLVD STE 1810
SACRAMENTO, CA
ZIP 95817
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Facility Phone Number: 916 252-0068

Facility Type: Independent

Certificate Type: Certificate of Compliance

NPI Number: 1932722550

Taxonomy: 261QG0250X - Clinic/Center
An entity, facility, or distinct part of a facility providing analysis of family history, genetic laboratory testing and analysis, diagnosis of genetic trait, prognosis and options. Laboratory studies may be outsourced.

CLIA Record

Field Name	Field Value
CLIA Number	05D2146243
LAB Type	Independent
Facility Name	NOVOGENE LABORATORY
Street	2921 STOCKTON BLVD STE 1810
City	SACRAMENTO
State	CA
ZIP	95817
Phone	916 252-0068
CertificateType	2
CertificateEffectiveDate	3/20/2022
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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