05D0576370 CLIA NUMBER - KIM TANG MD INC

Laboratory Demographics

  • CLIA Code: 05D0576370
  • Facility Name: KIM TANG MD INC
  • Facility Address: 23832 ROCKFIELD BLVD, STE 210
    LAKE FOREST, CA
    ZIP 92630
  • Facility Phone: 949 770-8115
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KIM T. TANG
  • NPI Number: 1790746147
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D0576370
LAB Type Physician Office
Facility Name KIM TANG MD INC
Street 23832 ROCKFIELD BLVD, STE 210
City LAKE FOREST
State CA
ZIP 92630
Phone 949 770-8115
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/20/2023
Certificate Expiration Date 7/19/2025
Facility Type Physician Office
Lab Director KIM T. TANG

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This page was last updated on: 6/4/2025