05D0859654 CLIA NUMBER - SAN T NGUYEN MD

Laboratory Demographics

  • CLIA Code: 05D0859654
  • Facility Name: SAN T NGUYEN MD
  • Facility Address: 1021 SOUTH GARFIELD AVE
    ALHAMBRA, CA
    ZIP 91801
  • Facility Phone: 818 282-6311
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: SAN T. NGUYEN MD
  • NPI Number: 1194738849
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D0859654
LAB Type Other
Facility Name SAN T NGUYEN MD
Street 1021 SOUTH GARFIELD AVE
City ALHAMBRA
State CA
ZIP 91801
Phone 818 282-6311
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 Other
Lab Director SAN T. NGUYEN MD

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