05D2176833 CLIA NUMBER - NHAN TAM MED CLINIC

Laboratory Demographics

  • CLIA Code: 05D2176833
  • Facility Name: NHAN TAM MED CLINIC
  • Facility Address: 6830 STOCKTON BLVD SUITE 155
    SACRAMENTO, CA
    ZIP 95823
  • Facility Phone: 916 476-3008
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN A. VU
  • NPI Number: 1477024164
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2176833
LAB Type Physician Office
Facility Name NHAN TAM MED CLINIC
Street 6830 STOCKTON BLVD SUITE 155
City SACRAMENTO
State CA
ZIP 95823
Phone 916 476-3008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/26/2023
Certificate Expiration Date 12/25/2025
Facility Type Physician Office
Lab Director KEVIN A. VU

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