05D0944027 CLIA NUMBER - MIN YOUNG CHA MD INC

Laboratory Demographics

  • CLIA Code: 05D0944027
  • Facility Name: MIN YOUNG CHA MD INC
  • Facility Address: 520 S VIRGIL AVE STE 507
    LOS ANGELES, CA
    ZIP 90020
  • Facility Phone: 213 480-7770
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MIN Y. CHA
  • NPI Number: 1205108024
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0944027
LAB Type Physician Office
Facility Name MIN YOUNG CHA MD INC
Street 520 S VIRGIL AVE STE 507
City LOS ANGELES
State CA
ZIP 90020
Phone 213 480-7770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Physician Office
Lab Director MIN Y. CHA

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