05D0718584 CLIA NUMBER - THUY THANH NGUYEN MD INC

Laboratory Demographics

  • CLIA Code: 05D0718584
  • Facility Name: THUY THANH NGUYEN MD INC
  • Facility Address: 12302 GARDEN GROVE BLVD #27
    GARDEN GROVE, CA
    ZIP 92643
  • Facility Phone: 714 530-2772
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THUY T. NGUYEN
  • NPI Number: 1053979740
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0718584
LAB Type Physician Office
Facility Name THUY THANH NGUYEN MD INC
Street 12302 GARDEN GROVE BLVD #27
City GARDEN GROVE
State CA
ZIP 92643
Phone 714 530-2772
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 THUY T. NGUYEN

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