05D2297219 CLIA NUMBER - MINHTHAO THI NGUYEN DO INC

Laboratory Demographics

  • CLIA Code: 05D2297219
  • Facility Name: MINHTHAO THI NGUYEN DO INC
  • Facility Address: 10301 BOLSA AVE STE 103
    WESTMINSTER, CA
    ZIP 92683
  • Facility Phone: 714 274-5580
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MINHTHAO T. NGUYEN
  • NPI Number: 1962280438
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2297219
LAB Type Physician Office
Facility Name MINHTHAO THI NGUYEN DO INC
Street 10301 BOLSA AVE STE 103
City WESTMINSTER
State CA
ZIP 92683
Phone 714 274-5580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Physician Office
Lab Director MINHTHAO T. NGUYEN

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