05D0551701 CLIA NUMBER - SOLEDAD O LEE, MD, INC LABORATORY

Laboratory Demographics

  • CLIA Code: 05D0551701
  • Facility Name: SOLEDAD O LEE, MD, INC LABORATORY
  • Facility Address: 6888 LINCOLN AVE SUITE M
    BUENA PARK, CA
    ZIP 90620
  • Facility Phone: 714 828-8400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SOLEDAD O. LEE MD
  • NPI Number: 1063609097
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0551701
LAB Type Physician Office
Facility Name SOLEDAD O LEE, MD, INC LABORATORY
Street 6888 LINCOLN AVE SUITE M
City BUENA PARK
State CA
ZIP 90620
Phone 714 828-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Physician Office
Lab Director SOLEDAD O. LEE MD

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