05D1028792 CLIA NUMBER - NGO PHAN MD INC

Laboratory Demographics

  • CLIA Code: 05D1028792
  • Facility Name: NGO PHAN MD INC
  • Facility Address: 2835 W VALLEY BLVD
    ALHAMBRA, CA
    ZIP 91803
  • Facility Phone: 626 281-3265
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NGO C. PHAN
  • NPI Number: 1043269145
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1028792
LAB Type Physician Office
Facility Name NGO PHAN MD INC
Street 2835 W VALLEY BLVD
City ALHAMBRA
State CA
ZIP 91803
Phone 626 281-3265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Physician Office
Lab Director NGO C. PHAN

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