05D2242727 CLIA NUMBER - KELVIN MAI, D.O.

Laboratory Demographics

  • CLIA Code: 05D2242727
  • Facility Name: KELVIN MAI, D.O.
  • Facility Address: 12666 BROOKHURST STREET SUITE 130
    GARDEN GROVE, CA
    ZIP 92840
  • Facility Phone: 714 332-1069
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KELVIN MAI
  • NPI Number: 1326072612
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2242727
LAB Type Physician Office
Facility Name KELVIN MAI, D.O.
Street 12666 BROOKHURST STREET SUITE 130
City GARDEN GROVE
State CA
ZIP 92840
Phone 714 332-1069
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Physician Office
Lab Director KELVIN MAI

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