05D0974462 CLIA NUMBER - NGA VAN PHAM MD INC

Laboratory Demographics

  • CLIA Code: 05D0974462
  • Facility Name: NGA VAN PHAM MD INC
  • Facility Address: 1569 LEXANN AVE STE 112
    SAN JOSE, CA
    ZIP 95121
  • Facility Phone: 408 532-0105
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NGA VAN PHAM
  • NPI Number: 1245427962
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0974462
LAB Type Physician Office
Facility Name NGA VAN PHAM MD INC
Street 1569 LEXANN AVE STE 112
City SAN JOSE
State CA
ZIP 95121
Phone 408 532-0105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Physician Office
Lab Director NGA VAN PHAM

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