05D0556755 CLIA NUMBER - DON W LEE MD A MEDICAL CORPORATION

Laboratory Demographics

CLIA Number: 05D0556755

Facility Name: DON W LEE MD A MEDICAL CORPORATION

Facility Address:
710 S CENTRAL AVE STE 210
GLENDALE, CA
ZIP 91204
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Facility Phone Number: 818 247-0160

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1144265547

Taxonomy: 207RI0011X - Internal Medicine
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

CLIA Record

Field Name	Field Value
CLIA Number	05D0556755
LAB Type	Physician Office
Facility Name	DON W LEE MD A MEDICAL CORPORATION
Street	710 S CENTRAL AVE STE 210
City	GLENDALE
State	CA
ZIP	91204
Phone	818 247-0160
CertificateType	4
CertificateEffectiveDate	3/24/2023
CertificateExpirationDate	3/23/2025
FacilityType	Waiver

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