05D1094048 CLIA NUMBER - DEAN BA NGO MD INC

Laboratory Demographics

  • CLIA Code: 05D1094048
  • Facility Name: DEAN BA NGO MD INC
  • Facility Address: 9972 WESTMINSTER AVE, STE 108
    GARDEN GROVE, CA
    ZIP 92844
  • Facility Phone: 714 531-0000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEAN B. NGO
  • NPI Number: 1508990664
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1094048
LAB Type Physician Office
Facility Name DEAN BA NGO MD INC
Street 9972 WESTMINSTER AVE, STE 108
City GARDEN GROVE
State CA
ZIP 92844
Phone 714 531-0000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Physician Office
Lab Director DEAN B. NGO

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