05D0543839 CLIA NUMBER - JAMES LEE MD

Laboratory Demographics

  • CLIA Code: 05D0543839
  • Facility Name: JAMES LEE MD
  • Facility Address: 1510 S CENTRAL AVE STE 540
    GLENDALE, CA
    ZIP 91204
  • Facility Phone: 818 553-1106
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES LEE
  • NPI Number: 1699878553
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0543839
LAB Type Physician Office
Facility Name JAMES LEE MD
Street 1510 S CENTRAL AVE STE 540
City GLENDALE
State CA
ZIP 91204
Phone 818 553-1106
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JAMES LEE

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