05D0580051 CLIA NUMBER - THOA DO MD

Laboratory Demographics

  • CLIA Code: 05D0580051
  • Facility Name: THOA DO MD
  • Facility Address: 14350 BROOKHURST
    GARDEN GROVE, CA
    ZIP 92643
  • Facility Phone: 714 839-0294
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOA DO
  • NPI Number: 1982719597
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0580051
LAB Type Physician Office
Facility Name THOA DO MD
Street 14350 BROOKHURST
City GARDEN GROVE
State CA
ZIP 92643
Phone 714 839-0294
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 THOA DO

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