05D0946552 CLIA NUMBER - ALYSSA YOUNGJEE KIM, MD

Laboratory Demographics

  • CLIA Code: 05D0946552
  • Facility Name: ALYSSA YOUNGJEE KIM, MD
  • Facility Address: 18102 IRVINE BLVD, STE 206
    TUSTIN, CA
    ZIP 92780
  • Facility Phone: 949 786-0908
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ALYSSA Y. KIM
  • NPI Number: 1730124306
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D0946552
LAB Type Physician Office
Facility Name ALYSSA YOUNGJEE KIM, MD
Street 18102 IRVINE BLVD, STE 206
City TUSTIN
State CA
ZIP 92780
Phone 949 786-0908
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/17/2022
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director ALYSSA Y. KIM

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