05D2113170 CLIA NUMBER - HOANG TRAN NGUYEN MD INC

Laboratory Demographics

  • CLIA Code: 05D2113170
  • Facility Name: HOANG TRAN NGUYEN MD INC
  • Facility Address: 10672 CHAPMAN AVE STE 1
    GARDEN GROVE, CA
    ZIP 92840
  • Facility Phone: 714 655-5382
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HOANG T. NGUYEN
  • NPI Number: 1871223016
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 05D2113170
LAB Type Physician Office
Facility Name HOANG TRAN NGUYEN MD INC
Street 10672 CHAPMAN AVE STE 1
City GARDEN GROVE
State CA
ZIP 92840
Phone 714 655-5382
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Physician Office
Lab Director HOANG T. NGUYEN

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