05D1015861 CLIA NUMBER - NGUYET LE, MD INC

Laboratory Demographics

  • CLIA Code: 05D1015861
  • Facility Name: NGUYET LE, MD INC
  • Facility Address: 1771 W ROMNEYA DRIVE SUITE E1
    ANAHEIM, CA
    ZIP 92801
  • Facility Phone: 714 535-5589
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NGUYET B. LE MD
  • NPI Number: 1154346542
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1015861
LAB Type Physician Office
Facility Name NGUYET LE, MD INC
Street 1771 W ROMNEYA DRIVE SUITE E1
City ANAHEIM
State CA
ZIP 92801
Phone 714 535-5589
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Physician Office
Lab Director NGUYET B. LE MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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