10D0272922 CLIA NUMBER - ANDREW NGUYEN MD PA

Laboratory Demographics

CLIA Number: 10D0272922

Facility Name: ANDREW NGUYEN MD PA

Facility Address:
308 NORTH MAIN STREET
TRENTON, FL
ZIP 32693
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Facility Phone Number: 352 463-7381

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1497851604

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	10D0272922
LAB Type	Physician Office
Facility Name	ANDREW NGUYEN MD PA
Street	308 NORTH MAIN STREET
City	TRENTON
State	FL
ZIP	32693
Phone	352 463-7381
CertificateType	4
CertificateEffectiveDate	6/29/2023
CertificateExpirationDate	6/28/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024