05D0693084 CLIA NUMBER - HY PHUNG NGO, M.D. INC

Laboratory Demographics

  • CLIA Code: 05D0693084
  • Facility Name: HY PHUNG NGO, M.D. INC
  • Facility Address: 625 E VALLEY BLVD SUITE H I
    SAN GABRIEL, CA
    ZIP 91776
  • Facility Phone: 626 572-4658
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HY PHUNG NGO
  • NPI Number: 1144385766
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0693084
LAB Type Physician Office
Facility Name HY PHUNG NGO, M.D. INC
Street 625 E VALLEY BLVD SUITE H I
City SAN GABRIEL
State CA
ZIP 91776
Phone 626 572-4658
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 HY PHUNG NGO

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