05D2056685 CLIA NUMBER - NGOCBICH NGUYEN, M.D., INC.

Laboratory Demographics

  • CLIA Code: 05D2056685
  • Facility Name: NGOCBICH NGUYEN, M.D., INC.
  • Facility Address: 3969 4TH AVE STE 207
    SAN DIEGO, CA
    ZIP 92103
  • Facility Phone: 619 543-0042
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NGOCBICH T. NGUYEN
  • NPI Number: 1578663787
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2056685
LAB Type Physician Office
Facility Name NGOCBICH NGUYEN, M.D., INC.
Street 3969 4TH AVE STE 207
City SAN DIEGO
State CA
ZIP 92103
Phone 619 543-0042
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Physician Office
Lab Director NGOCBICH T. NGUYEN

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