05D1048403 CLIA NUMBER - HAN VAN DUONG,MD, DO

Laboratory Demographics

  • CLIA Code: 05D1048403
  • Facility Name: HAN VAN DUONG,MD, DO
  • Facility Address: 8632 VALLEY BLVD, STE D
    ROSEMEAD, CA
    ZIP 91770
  • Facility Phone: 626 572-0005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAN V. DUONG
  • NPI Number: 1407074578
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1048403
LAB Type Physician Office
Facility Name HAN VAN DUONG,MD, DO
Street 8632 VALLEY BLVD, STE D
City ROSEMEAD
State CA
ZIP 91770
Phone 626 572-0005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Physician Office
Lab Director HAN V. DUONG

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