05D1018956 CLIA NUMBER - T D NGUYEN, MD INC

Laboratory Demographics

  • CLIA Code: 05D1018956
  • Facility Name: T D NGUYEN, MD INC
  • Facility Address: 27830 BRADLEY RD
    SUN CITY, CA
    ZIP 92586
  • Facility Phone: 951 679-2358
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THANG D. NGUYEN MD
  • NPI Number: 1598860983
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1018956
LAB Type Physician Office
Facility Name T D NGUYEN, MD INC
Street 27830 BRADLEY RD
City SUN CITY
State CA
ZIP 92586
Phone 951 679-2358
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Physician Office
Lab Director THANG D. NGUYEN MD

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