05D0887759 CLIA NUMBER - WOO-SUNG AHN MD

Laboratory Demographics

  • CLIA Code: 05D0887759
  • Facility Name: WOO-SUNG AHN MD
  • Facility Address: 20145 S PIONEER BLVD
    LAKEWOOD, CA
    ZIP 90715
  • Facility Phone: 562 916-5020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WOO S. AHN
  • NPI Number: 1396807806
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0887759
LAB Type Physician Office
Facility Name WOO-SUNG AHN MD
Street 20145 S PIONEER BLVD
City LAKEWOOD
State CA
ZIP 90715
Phone 562 916-5020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Physician Office
Lab Director WOO S. AHN

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