05D0723666 CLIA NUMBER - JUNG-I YANG MD

Laboratory Demographics

  • CLIA Code: 05D0723666
  • Facility Name: JUNG-I YANG MD
  • Facility Address: 22 ODYSSEY STE 245
    IRVINE, CA
    ZIP 92618
  • Facility Phone: 949 552-5108
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JUNG I J. YANG
  • NPI Number: 1255309092
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0723666
LAB Type Physician Office
Facility Name JUNG-I YANG MD
Street 22 ODYSSEY STE 245
City IRVINE
State CA
ZIP 92618
Phone 949 552-5108
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Physician Office
Lab Director JUNG I J. YANG

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