05D2128364 CLIA NUMBER - YONG TAN, MD

Laboratory Demographics

  • CLIA Code: 05D2128364
  • Facility Name: YONG TAN, MD
  • Facility Address: 751 W LEGION RD STE 102
    BRAWLEY, CA
    ZIP 92227
  • Facility Phone: 760 351-8696
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YONG TAN, MD
  • NPI Number: 1083771489
  • Taxonomy: 207Q00000X - Family Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Physician Office
Lab Director YONG TAN, MD

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