CLIA lab

CLIA 05D0971696: David Dungchi Nguyen MD

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

CLIA number 05D0971696 belongs to David Dungchi Nguyen MD in Fountain Valley, CA.

Certificate of Waiver, effective March 20, 2026, expires March 19, 2028.

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
March 20, 2026
Certificate expiration
March 19, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 20, 2000
Facility type
Physician office
Ownership (control type)
Private
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
05D0971696
Lab name
David Dungchi Nguyen MD
Address
16040 Harbor Blvd Ste I, Fountain Valley, CA 92708
Phone
(714) 775-2600
Fax
(714) 775-2622

Annual test volume the lab reported

Waived tests
200

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

Other labs in Fountain Valley, CA

Related

Questions

What is the CLIA number for David Dungchi Nguyen MD in Fountain Valley?

05D0971696, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does David Dungchi Nguyen MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D0971696 expire?

The CMS file lists March 19, 2028 as the certificate expiration date; the certificate took effect March 20, 2026.

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