05D0971696 CLIA NUMBER - DAVID DUNGCHI NGUYEN MD

Laboratory Demographics

  • CLIA Code: 05D0971696
  • Facility Name: DAVID DUNGCHI NGUYEN MD
  • Facility Address: 16040 HARBOR BLVD STE I
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Facility Phone: 714 775-2600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID D. NGUYEN MD
  • NPI Number: 1548067838
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0971696
LAB Type Physician Office
Facility Name DAVID DUNGCHI NGUYEN MD
Street 16040 HARBOR BLVD STE I
City FOUNTAIN VALLEY
State CA
ZIP 92708
Phone 714 775-2600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Physician Office
Lab Director DAVID D. NGUYEN MD

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