01D1082756 CLIA NUMBER - SANGAE KIM-PARK MD PC

Laboratory Demographics

  • CLIA Code: 01D1082756
  • Facility Name: SANGAE KIM-PARK MD PC
  • Facility Address: 52 MEDICAL PARK DR SUITE 312
    BIRMINGHAM, AL
    ZIP 35235
  • Facility Phone: 205 836-9690
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANGAE KIM-PARK MD
  • NPI Number: 1053508200
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D1082756
LAB Type Physician Office
Facility Name SANGAE KIM-PARK MD PC
Street 52 MEDICAL PARK DR SUITE 312
City BIRMINGHAM
State AL
ZIP 35235
Phone 205 836-9690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2024
Certificate Expiration Date 4/16/2026
Facility Type Physician Office
Lab Director SANGAE KIM-PARK MD

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