45D2058899 CLIA NUMBER - NOVA MEDICAL CENTERS-DUNCANVILLE

Laboratory Demographics

  • CLIA Code: 45D2058899
  • Facility Name: NOVA MEDICAL CENTERS-DUNCANVILLE
  • Facility Address: 814 E CAMP WISDOM
    DUNCANVILLE, TX
    ZIP 75116
  • Facility Phone: 713 880-4400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROCHELLE LATKANICH
  • NPI Number: 1639553266
  • Taxonomy: 2083X0100X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2058899
LAB Type Physician Office
Facility Name NOVA MEDICAL CENTERS-DUNCANVILLE
Street 814 E CAMP WISDOM
City DUNCANVILLE
State TX
ZIP 75116
Phone 713 880-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2025
Certificate Expiration Date 5/13/2027
Facility Type Physician Office
Lab Director ROCHELLE LATKANICH

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This page was last updated on: 6/4/2025