05D2266343 CLIA NUMBER - NOVIR- CALIFORNIA

Laboratory Demographics

  • CLIA Code: 05D2266343
  • Facility Name: NOVIR- CALIFORNIA
  • Facility Address: 6 LOCKSLEY AVE APT 8J
    SAN FRANCISCO, CA
    ZIP 94122
  • Facility Phone: 414 269-9530
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: THOMAS J. NUCKTON
  • NPI Number: 1700474129
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2266343
LAB Type Independent
Facility Name NOVIR- CALIFORNIA
Street 6 LOCKSLEY AVE APT 8J
City SAN FRANCISCO
State CA
ZIP 94122
Phone 414 269-9530
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Independent
Lab Director THOMAS J. NUCKTON

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