05D0565540 CLIA NUMBER - THANH MINH NGUYEN, MD INC

Laboratory Demographics

CLIA Number: 05D0565540

Facility Name: THANH MINH NGUYEN, MD INC

Facility Address:
8919 WESTMINSTER AVE
GARDEN GROVE, CA
ZIP 92844
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Facility Phone Number: 714 893-5511

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1952614562

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	05D0565540
LAB Type	Physician Office
Facility Name	THANH MINH NGUYEN, MD INC
Street	8919 WESTMINSTER AVE
City	GARDEN GROVE
State	CA
ZIP	92844
Phone	714 893-5511
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024