05D0683395 CLIA NUMBER - KYU HYUN KIM, MD INC

Laboratory Demographics

  • CLIA Code: 05D0683395
  • Facility Name: KYU HYUN KIM, MD INC
  • Facility Address: 15243 VANOWEN ST STE 300
    VAN NUYS, CA
    ZIP 91405
  • Facility Phone: 818 786-4910
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KYU HYUN KIM MD
  • NPI Number: 1114007754
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0683395
LAB Type Physician Office
Facility Name KYU HYUN KIM, MD INC
Street 15243 VANOWEN ST STE 300
City VAN NUYS
State CA
ZIP 91405
Phone 818 786-4910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director KYU HYUN KIM MD

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