05D0694807 CLIA NUMBER - NGAI NGUYEN MD

Laboratory Demographics

  • CLIA Code: 05D0694807
  • Facility Name: NGAI NGUYEN MD
  • Facility Address: 696 E SANTA CLARA ST #108
    SAN JOSE, CA
    ZIP 95112
  • Facility Phone: 408 971-8441
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NGAI X. NGUYEN MD
  • NPI Number: 1205883501
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0694807
LAB Type Physician Office
Facility Name NGAI NGUYEN MD
Street 696 E SANTA CLARA ST #108
City SAN JOSE
State CA
ZIP 95112
Phone 408 971-8441
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 NGAI X. NGUYEN MD

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