10D2243465 CLIA NUMBER - NGUYEN FAMILY PRACTICE LLC

Laboratory Demographics

  • CLIA Code: 10D2243465
  • Facility Name: NGUYEN FAMILY PRACTICE LLC
  • Facility Address: 25365 W NEWBERRY RD
    NEWBERRY, FL
    ZIP 32669
  • Facility Phone: 352 472-2275
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NELSON T. NGUYEN
  • NPI Number: 1568133460
  • Taxonomy: 363LF0000X - Nurse Practitioner

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2023
Certificate Expiration Date 11/17/2025
Facility Type Physician Office
Lab Director NELSON T. NGUYEN

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