05D0713604 CLIA NUMBER - THAI BINH MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 05D0713604
  • Facility Name: THAI BINH MEDICAL CLINIC
  • Facility Address: 10691 WESTMINSTER AVENUE SUITE 100
    GARDEN GROVE, CA
    ZIP 92843
  • Facility Phone: 714 539-4900
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: THAI BINH T. PHAN MD
  • NPI Number: 1215401583
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0713604
LAB Type Physician Office
Facility Name THAI BINH MEDICAL CLINIC
Street 10691 WESTMINSTER AVENUE SUITE 100
City GARDEN GROVE
State CA
ZIP 92843
Phone 714 539-4900
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 THAI BINH T. PHAN MD

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