05D1068619 CLIA NUMBER - LE NGUYEN TRAM NGUYEN TRAN MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D1068619
  • Facility Name: LE NGUYEN TRAM NGUYEN TRAN MEDICAL CORPORATION
  • Facility Address: 15355 BROOKHURST ST STE 102
    WESTMINSTER, CA
    ZIP 92683
  • Facility Phone: 714 775-3057
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CONNIE K. NGUYEN
  • NPI Number: 1093936403
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1068619
LAB Type Physician Office
Facility Name LE NGUYEN TRAM NGUYEN TRAN MEDICAL CORPORATION
Street 15355 BROOKHURST ST STE 102
City WESTMINSTER
State CA
ZIP 92683
Phone 714 775-3057
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Physician Office
Lab Director CONNIE K. NGUYEN

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This page was last updated on: 6/4/2025