05D2128364 CLIA NUMBER - YONG TAN, MD

Laboratory Demographics

CLIA Number: 05D2128364

Facility Name: YONG TAN, MD

Facility Address:
751 W LEGION RD STE 102
BRAWLEY, CA
ZIP 92227
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Facility Phone Number: 760 351-8696

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1083771489

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D2128364
LAB Type	Physician Office
Facility Name	YONG TAN, MD
Street	751 W LEGION RD STE 102
City	BRAWLEY
State	CA
ZIP	92227
Phone	760 351-8696
CertificateType	4
CertificateEffectiveDate	3/29/2023
CertificateExpirationDate	3/28/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024