05D2305466 CLIA NUMBER - MICHAEL TRUONG, MD

Laboratory Demographics

  • CLIA Code: 05D2305466
  • Facility Name: MICHAEL TRUONG, MD
  • Facility Address: 1200 N TUSTIN AVE, STE 130
    SANTA ANA, CA
    ZIP 92705
  • Facility Phone: 657 600-9077
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL TRUONG
  • NPI Number: 1942214689
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 05D2305466
LAB Type Physician Office
Facility Name MICHAEL TRUONG, MD
Street 1200 N TUSTIN AVE, STE 130
City SANTA ANA
State CA
ZIP 92705
Phone 657 600-9077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2024
Certificate Expiration Date 5/30/2026
Facility Type Physician Office
Lab Director MICHAEL TRUONG

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