05D0977195 CLIA NUMBER - TUNG C NGUYEN DO

Laboratory Demographics

  • CLIA Code: 05D0977195
  • Facility Name: TUNG C NGUYEN DO
  • Facility Address: 2509 W FIRST ST
    SANTA ANA, CA
    ZIP 92703
  • Facility Phone: 714 541-0057
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TUNG C. NGUYEN MD
  • NPI Number: 1285679449
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0977195
LAB Type Physician Office
Facility Name TUNG C NGUYEN DO
Street 2509 W FIRST ST
City SANTA ANA
State CA
ZIP 92703
Phone 714 541-0057
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Physician Office
Lab Director TUNG C. NGUYEN MD

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This page was last updated on: 6/4/2025