05D2095394 CLIA NUMBER - PHONG H BUI, INC

Laboratory Demographics

  • CLIA Code: 05D2095394
  • Facility Name: PHONG H BUI, INC
  • Facility Address: 16055 BROOKHURST ST STE C
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Facility Phone: 714 839-2400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHONG H. BUI, MD
  • NPI Number: 1316177462
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2095394
LAB Type Physician Office
Facility Name PHONG H BUI, INC
Street 16055 BROOKHURST ST STE C
City FOUNTAIN VALLEY
State CA
ZIP 92708
Phone 714 839-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Physician Office
Lab Director PHONG H. BUI, MD

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