05D1060350 CLIA NUMBER - NHANHAU NGO, MD

Laboratory Demographics

  • CLIA Code: 05D1060350
  • Facility Name: NHANHAU NGO, MD
  • Facility Address: 12692 BROOKHURST ST
    GARDEN GROVE, CA
    ZIP 92840
  • Facility Phone: 714 657-7100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NHANHAU NGO, MD
  • NPI Number: 1336184316
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1060350
LAB Type Physician Office
Facility Name NHANHAU NGO, MD
Street 12692 BROOKHURST ST
City GARDEN GROVE
State CA
ZIP 92840
Phone 714 657-7100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Physician Office
Lab Director NHANHAU NGO, MD

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