05D0713729 CLIA NUMBER - VY CHI NGUYEN MD

Laboratory Demographics

  • CLIA Code: 05D0713729
  • Facility Name: VY CHI NGUYEN MD
  • Facility Address: 10161 BOLSA AVE STE C202-203
    WESTMINSTER, CA
    ZIP 92683
  • Facility Phone: 714 775-2222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VY C. NGUYEN
  • NPI Number: 1639489560
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D0713729
LAB Type Physician Office
Facility Name VY CHI NGUYEN MD
Street 10161 BOLSA AVE STE C202-203
City WESTMINSTER
State CA
ZIP 92683
Phone 714 775-2222
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 VY C. NGUYEN

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