CLIA lab

CLIA 05D0902718: Tao T Nguyen

Maywood, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D0902718 belongs to Tao T Nguyen in Maywood, CA.

Certificate of Waiver, effective December 8, 2025, expires December 7, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
December 8, 2025
Certificate expiration
December 7, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 27, 1995
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D0902718
Lab name
Tao T Nguyen
Address
6043 Atlantic Blvd, Maywood, CA 90270
Phone
(323) 583-6516
Fax
(323) 583-0802

Annual test volume the lab reported

Waived tests
30

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Tao T Nguyen in Maywood?

05D0902718, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Tao T Nguyen hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0902718 expire?

The CMS file lists December 7, 2027 as the certificate expiration date; the certificate took effect December 8, 2025.

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