05D0951169 CLIA NUMBER - TUAN T NGUYEN MD, INC

Laboratory Demographics

  • CLIA Code: 05D0951169
  • Facility Name: TUAN T NGUYEN MD, INC
  • Facility Address: 4141 FAIRMOUNT AVENUE #201
    SAN DIEGO, CA
    ZIP 92105
  • Facility Phone: 619 563-4040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TUAN T. NGUYEN MD
  • NPI Number: 1730270380
  • Taxonomy: 207RG0100X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0951169
LAB Type Physician Office
Facility Name TUAN T NGUYEN MD, INC
Street 4141 FAIRMOUNT AVENUE #201
City SAN DIEGO
State CA
ZIP 92105
Phone 619 563-4040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Physician Office
Lab Director TUAN T. NGUYEN MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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