05D0540647 CLIA NUMBER - JOSEPH S KIM MD

Laboratory Demographics

  • CLIA Code: 05D0540647
  • Facility Name: JOSEPH S KIM MD
  • Facility Address: 3000 W OLYMPIC BLVD SUITE 202
    LOS ANGELES, CA
    ZIP 90006
  • Facility Phone: 213 380-1388
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOSEPH S. KIM
  • NPI Number: 1790892115
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0540647
LAB Type Physician Office
Facility Name JOSEPH S KIM MD
Street 3000 W OLYMPIC BLVD SUITE 202
City LOS ANGELES
State CA
ZIP 90006
Phone 213 380-1388
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JOSEPH S. KIM

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