05D1021347 CLIA NUMBER - VIET Q MAI MD

Laboratory Demographics

  • CLIA Code: 05D1021347
  • Facility Name: VIET Q MAI MD
  • Facility Address: 530 W BADILLO STREET SUITE E
    COVINA, CA
    ZIP 91722
  • Facility Phone: 626 858-5370
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIET Q. MAI MD
  • NPI Number: 1528042090
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1021347
LAB Type Physician Office
Facility Name VIET Q MAI MD
Street 530 W BADILLO STREET SUITE E
City COVINA
State CA
ZIP 91722
Phone 626 858-5370
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2024
Certificate Expiration Date 1/20/2026
Facility Type Physician Office
Lab Director VIET Q. MAI MD

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