05D2296741 CLIA NUMBER - VIVIAN NGUYEN MD PROFESSIONAL CORP

Laboratory Demographics

  • CLIA Code: 05D2296741
  • Facility Name: VIVIAN NGUYEN MD PROFESSIONAL CORP
  • Facility Address: 8419 WESTMINSTER BLVD
    WESTMINSTER, CA
    ZIP 92683
  • Facility Phone: 714 248-9558
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIVIAN NGUYEN
  • NPI Number: 1689869570
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2296741
LAB Type Physician Office
Facility Name VIVIAN NGUYEN MD PROFESSIONAL CORP
Street 8419 WESTMINSTER BLVD
City WESTMINSTER
State CA
ZIP 92683
Phone 714 248-9558
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Physician Office
Lab Director VIVIAN NGUYEN

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