05D0928009 CLIA NUMBER - DAE-WOOK KANG, MD PROFESSIONAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D0928009
  • Facility Name: DAE-WOOK KANG, MD PROFESSIONAL CORPORATION
  • Facility Address: 2000 W HEDDING STREET #10
    SAN JOSE, CA
    ZIP 95128
  • Facility Phone: 408 280-5500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAE WOOK KANG
  • NPI Number: 1194741272
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0928009
LAB Type Physician Office
Facility Name DAE-WOOK KANG, MD PROFESSIONAL CORPORATION
Street 2000 W HEDDING STREET #10
City SAN JOSE
State CA
ZIP 95128
Phone 408 280-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Physician Office
Lab Director DAE WOOK KANG

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This page was last updated on: 6/4/2025