05D0977195 CLIA NUMBER - TUNG C NGUYEN DO

Laboratory Demographics

CLIA Number: 05D0977195

Facility Name: TUNG C NGUYEN DO

Facility Address:
2509 W FIRST ST
SANTA ANA, CA
ZIP 92703
Get Directions

Facility Phone Number: 714 541-0057

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1285679449

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
CertificateType	4
CertificateEffectiveDate	8/22/2022
CertificateExpirationDate	8/21/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024