05D1059355 CLIA NUMBER - JONATHAN NGUYEN MD INC

Laboratory Demographics

  • CLIA Code: 05D1059355
  • Facility Name: JONATHAN NGUYEN MD INC
  • Facility Address: 555 EAST PACIFIC COAST # 102
    LONG BEACH, CA
    ZIP 90806
  • Facility Phone: 562 591-3222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JONATHAN T. NGUYEN MD
  • NPI Number: 1023193125
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1059355
LAB Type Physician Office
Facility Name JONATHAN NGUYEN MD INC
Street 555 EAST PACIFIC COAST # 102
City LONG BEACH
State CA
ZIP 90806
Phone 562 591-3222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Physician Office
Lab Director JONATHAN T. NGUYEN MD

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