10D0872205 CLIA NUMBER - DANIEL NUCHOVICH MD

Laboratory Demographics

  • CLIA Code: 10D0872205
  • Facility Name: DANIEL NUCHOVICH MD
  • Facility Address: 175 TONEY PENNA DRIVE #101
    JUPITER, FL
    ZIP 33458
  • Facility Phone: (561) 746-2033
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDHYA PATTEM
  • NPI Number: 1790747806
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0872205
LAB Type Physician Office
Facility Name DANIEL NUCHOVICH MD
Street 175 TONEY PENNA DRIVE #101
City JUPITER
State FL
ZIP 33458
Phone 5617462033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Physician Office
Lab Director SANDHYA PATTEM

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This page was last updated on: 5/18/2026