05D1029273 CLIA NUMBER - HAU H TAN, MD INC

Laboratory Demographics

  • CLIA Code: 05D1029273
  • Facility Name: HAU H TAN, MD INC
  • Facility Address: 7871 UNIVERSITY AVE SUITE B
    LA MESA, CA
    ZIP 91942
  • Facility Phone: 619 287-8270
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAU H. TAN MD
  • NPI Number: 1912907726
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1029273
LAB Type Physician Office
Facility Name HAU H TAN, MD INC
Street 7871 UNIVERSITY AVE SUITE B
City LA MESA
State CA
ZIP 91942
Phone 619 287-8270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Physician Office
Lab Director HAU H. TAN MD

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