05D1102120 CLIA NUMBER - VU H NGUYEN, DO FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 05D1102120
  • Facility Name: VU H NGUYEN, DO FAMILY PRACTICE
  • Facility Address: 210 NORTH JACKSON AVENUE, SUITE 20
    SAN JOSE, CA
    ZIP 95116
  • Facility Phone: 408 251-6127
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VU H. NGUYEN, DO
  • NPI Number: 1225063290
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1102120
LAB Type Physician Office
Facility Name VU H NGUYEN, DO FAMILY PRACTICE
Street 210 NORTH JACKSON AVENUE, SUITE 20
City SAN JOSE
State CA
ZIP 95116
Phone 408 251-6127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Physician Office
Lab Director VU H. NGUYEN, DO

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