05D0582521 CLIA NUMBER - CHING G LEE MD

Laboratory Demographics

  • CLIA Code: 05D0582521
  • Facility Name: CHING G LEE MD
  • Facility Address: 408 S BEACH BLVD STE 203
    ANAHEIM, CA
    ZIP 92804
  • Facility Phone: 714 527-9111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHING LEE MD
  • NPI Number: 1821105321
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0582521
LAB Type Physician Office
Facility Name CHING G LEE MD
Street 408 S BEACH BLVD STE 203
City ANAHEIM
State CA
ZIP 92804
Phone 714 527-9111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Physician Office
Lab Director CHING LEE MD

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