10D2243465 CLIA NUMBER - NGUYEN FAMILY PRACTICE LLC

Laboratory Demographics

CLIA Number: 10D2243465

Facility Name: NGUYEN FAMILY PRACTICE LLC

Facility Address:
25365 W NEWBERRY RD
NEWBERRY, FL
ZIP 32669
Get Directions

Facility Phone Number: 352 472-2275

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1568133460

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	10D2243465
LAB Type	Physician Office
Facility Name	NGUYEN FAMILY PRACTICE LLC
Street	25365 W NEWBERRY RD
City	NEWBERRY
State	FL
ZIP	32669
Phone	352 472-2275
CertificateType	4
CertificateEffectiveDate	11/18/2023
CertificateExpirationDate	11/17/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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