05D2118702 CLIA NUMBER - TIMOTHY THIEN TRAN, M.D., INC

Laboratory Demographics

  • CLIA Code: 05D2118702
  • Facility Name: TIMOTHY THIEN TRAN, M.D., INC
  • Facility Address: 12302 GARDEN GROVE BLVD STE 7
    GARDEN GROVE, CA
    ZIP 92843
  • Facility Phone: 714 537-4343
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY T. TRAN,MD
  • NPI Number: 1699129916
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2118702
LAB Type Physician Office
Facility Name TIMOTHY THIEN TRAN, M.D., INC
Street 12302 GARDEN GROVE BLVD STE 7
City GARDEN GROVE
State CA
ZIP 92843
Phone 714 537-4343
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Physician Office
Lab Director TIMOTHY T. TRAN,MD

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