05D0900857 CLIA NUMBER - ANDREW J KIM MD

Laboratory Demographics

  • CLIA Code: 05D0900857
  • Facility Name: ANDREW J KIM MD
  • Facility Address: 3663 WEST 6TH STREET #309
    LOS ANGELES, CA
    ZIP 90020
  • Facility Phone: 213 387-8200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW J. KIM MD
  • NPI Number: 1699858993
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D0900857
LAB Type Physician Office
Facility Name ANDREW J KIM MD
Street 3663 WEST 6TH STREET #309
City LOS ANGELES
State CA
ZIP 90020
Phone 213 387-8200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Physician Office
Lab Director ANDREW J. KIM MD

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