05D2105873 CLIA NUMBER - DAVID N HOANG, D.O.

Laboratory Demographics

  • CLIA Code: 05D2105873
  • Facility Name: DAVID N HOANG, D.O.
  • Facility Address: 13672 HAWTHORNE BLVD
    HAWTHORNE, CA
    ZIP 90250
  • Facility Phone: 310 644-5097
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID N. HOANG, DO
  • NPI Number: 1861758831
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2105873
LAB Type Physician Office
Facility Name DAVID N HOANG, D.O.
Street 13672 HAWTHORNE BLVD
City HAWTHORNE
State CA
ZIP 90250
Phone 310 644-5097
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Physician Office
Lab Director DAVID N. HOANG, DO

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