05D0909080 CLIA NUMBER - NHU TRUONG

Laboratory Demographics

  • CLIA Code: 05D0909080
  • Facility Name: NHU TRUONG
  • Facility Address: 10402 WESTMINSTER AVE # 100 B
    GARDEN GROVE, CA
    ZIP 92843
  • Facility Phone: 714 539-4946
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NHU V. TRUONG
  • NPI Number: 1508824368
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0909080
LAB Type Physician Office
Facility Name NHU TRUONG
Street 10402 WESTMINSTER AVE # 100 B
City GARDEN GROVE
State CA
ZIP 92843
Phone 714 539-4946
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Physician Office
Lab Director NHU V. TRUONG

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