05D0580044 CLIA NUMBER - DAT M NGUYEN MD

Laboratory Demographics

  • CLIA Code: 05D0580044
  • Facility Name: DAT M NGUYEN MD
  • Facility Address: 14536 BROOKHURST, #102
    WESTMINSTER, CA
    ZIP 92683
  • Facility Phone: 714 531-2548
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAT M. NGUYEN, MD
  • NPI Number: 1871730895
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0580044
LAB Type Physician Office
Facility Name DAT M NGUYEN MD
Street 14536 BROOKHURST, #102
City WESTMINSTER
State CA
ZIP 92683
Phone 714 531-2548
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Physician Office
Lab Director DAT M. NGUYEN, MD

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