05D0700338 CLIA NUMBER - VIBUL TANGPRAPHAPHORN MD

Laboratory Demographics

  • CLIA Code: 05D0700338
  • Facility Name: VIBUL TANGPRAPHAPHORN MD
  • Facility Address: 109 ADKISSON WAY
    TAFT, CA
    ZIP 93268
  • Facility Phone: 805 765-4124
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: VIBUL TANGPRAPHAPHORN
  • NPI Number: 1255514253
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D0700338
LAB Type Physician Office
Facility Name VIBUL TANGPRAPHAPHORN MD
Street 109 ADKISSON WAY
City TAFT
State CA
ZIP 93268
Phone 805 765-4124
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 VIBUL TANGPRAPHAPHORN

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