33D0140918 CLIA NUMBER - ROBERT K NOVICH MD

Laboratory Demographics

  • CLIA Code: 33D0140918
  • Facility Name: ROBERT K NOVICH MD
  • Facility Address: 2001 PALMER AVENUE SUITE 107
    LARCHMONT, NY
    ZIP 10538
  • Facility Phone: 914 633-8705
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT K. NOVICH MD
  • NPI Number: 1114934585
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0140918
LAB Type Physician Office
Facility Name ROBERT K NOVICH MD
Street 2001 PALMER AVENUE SUITE 107
City LARCHMONT
State NY
ZIP 10538
Phone 914 633-8705
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ROBERT K. NOVICH MD

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