05D0550813 CLIA NUMBER - HONG G AHN MD

Laboratory Demographics

CLIA Number: 05D0550813

Facility Name: HONG G AHN MD

Facility Address:
17507 CRENSHAW BLVD
TORRANCE, CA
ZIP 90504
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Facility Phone Number: 310 324-4443

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1699779231

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	05D0550813
LAB Type	Physician Office
Facility Name	HONG G AHN MD
Street	17507 CRENSHAW BLVD
City	TORRANCE
State	CA
ZIP	90504
Phone	310 324-4443
CertificateType	4
CertificateEffectiveDate	5/15/2023
CertificateExpirationDate	5/14/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024