05D0695932 CLIA NUMBER - KORYO HEALTH FOUNDATION

Laboratory Demographics

  • CLIA Code: 05D0695932
  • Facility Name: KORYO HEALTH FOUNDATION
  • Facility Address: 2655 W OLYMPIC BLVD SUITE101
    LOS ANGELES, CA
    ZIP 90006
  • Facility Phone: 213 380-8833
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. DONG JOAN YI
  • NPI Number: 1952460156
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0695932
LAB Type Community Clinic
Facility Name KORYO HEALTH FOUNDATION
Street 2655 W OLYMPIC BLVD SUITE101
City LOS ANGELES
State CA
ZIP 90006
Phone 213 380-8833
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 Community Clinic
Lab Director DR. DONG JOAN YI

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