05D0980437 CLIA NUMBER - THANG NGUYEN MD INC PICO UNION MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 05D0980437
  • Facility Name: THANG NGUYEN MD INC PICO UNION MEDICAL CLINIC
  • Facility Address: 1271 S UNION AVE
    LOS ANGELES, CA
    ZIP 90015
  • Facility Phone: 213 386-0214
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THANG P. NGUYEN
  • NPI Number: 1992729933
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D0980437
LAB Type Physician Office
Facility Name THANG NGUYEN MD INC PICO UNION MEDICAL CLINIC
Street 1271 S UNION AVE
City LOS ANGELES
State CA
ZIP 90015
Phone 213 386-0214
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type Physician Office
Lab Director THANG P. NGUYEN

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