CLIA lab
CLIA 05D1094048: Dean Ba Ngo MD Inc
Garden Grove, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1094048 belongs to Dean Ba Ngo MD Inc in Garden Grove, CA.
Certificate of Waiver, effective January 8, 2025, expires January 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
- January 8, 2025
- Certificate expiration
- January 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 8, 2009
- 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
- 05D1094048
- Lab name
- Dean Ba Ngo MD Inc
- Address
- 9972 Westminster Ave, Ste 108, Garden Grove, CA 92844
- Phone
- (714) 531-0000
- Fax
- (714) 531-1006
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.
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Related
Questions
What is the CLIA number for Dean Ba Ngo MD Inc in Garden Grove?
05D1094048, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dean Ba Ngo MD Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1094048 expire?
The CMS file lists January 7, 2027 as the certificate expiration date; the certificate took effect January 8, 2025.