05D0578845 CLIA NUMBER - HONG-AN JAN MD INC

Laboratory Demographics

  • CLIA Code: 05D0578845
  • Facility Name: HONG-AN JAN MD INC
  • Facility Address: 12555 GARDEN GROVE BLVD STE 202
    GARDEN GROVE, CA
    ZIP 92843
  • Facility Phone: 714 538-1288
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HONG AN JAN
  • NPI Number: 1255332979
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D0578845
LAB Type Physician Office
Facility Name HONG-AN JAN MD INC
Street 12555 GARDEN GROVE BLVD STE 202
City GARDEN GROVE
State CA
ZIP 92843
Phone 714 538-1288
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director HONG AN JAN

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