05D1012350 CLIA NUMBER - NICHOLAS THANH TRAN, MD

Laboratory Demographics

  • CLIA Code: 05D1012350
  • Facility Name: NICHOLAS THANH TRAN, MD
  • Facility Address: 15651 BROOKHURST ST
    WESTMINSTER, CA
    ZIP 92683
  • Facility Phone: 714 531-6969
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICHOLAS T. TRAN MD
  • NPI Number: 1265498349
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1012350
LAB Type Physician Office
Facility Name NICHOLAS THANH TRAN, MD
Street 15651 BROOKHURST ST
City WESTMINSTER
State CA
ZIP 92683
Phone 714 531-6969
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Physician Office
Lab Director NICHOLAS T. TRAN MD

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