05D2265455 CLIA NUMBER - AGILE OCCUPATIONAL MEDICINE

Laboratory Demographics

  • CLIA Code: 05D2265455
  • Facility Name: AGILE OCCUPATIONAL MEDICINE
  • Facility Address: 445 E. ANAHEIM ST
    WILMINGTON, CA
    ZIP 90744
  • Facility Phone: 424 292-3260
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MINH Q. NGUYEN
  • NPI Number: 1740915008
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2265455
LAB Type Physician Office
Facility Name AGILE OCCUPATIONAL MEDICINE
Street 445 E. ANAHEIM ST
City WILMINGTON
State CA
ZIP 90744
Phone 424 292-3260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Physician Office
Lab Director MINH Q. NGUYEN

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