05D2251792 CLIA NUMBER - NICHOLAS C SALVATI DMD

Laboratory Demographics

  • CLIA Code: 05D2251792
  • Facility Name: NICHOLAS C SALVATI DMD
  • Facility Address: 665 CAMINO DE LOS MARES STE 205
    SAN CLEMENTE, CA
    ZIP 92673
  • Facility Phone: 949 443-0161
  • Facility Type: Other - DENTISTS OFFICE
  • Facility Type: Waiver
  • Lab Director: NICHOLAS SALVATI
  • NPI Number: 1508858622
  • Taxonomy: 122300000X - Dentist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2251792
LAB Type Other - DENTISTS OFFICE
Facility Name NICHOLAS C SALVATI DMD
Street 665 CAMINO DE LOS MARES STE 205
City SAN CLEMENTE
State CA
ZIP 92673
Phone 949 443-0161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Other - DENTISTS OFFICE
Lab Director NICHOLAS SALVATI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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