05D0964833 CLIA NUMBER - KUNGSOO KIM MD

Laboratory Demographics

  • CLIA Code: 05D0964833
  • Facility Name: KUNGSOO KIM MD
  • Facility Address: 18102 PIONEER BLVD #201
    ARTESIA, CA
    ZIP 90701
  • Facility Phone: 562 865-8537
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KUNGSOO K. KIM MD
  • NPI Number: 1467415455
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0964833
LAB Type Physician Office
Facility Name KUNGSOO KIM MD
Street 18102 PIONEER BLVD #201
City ARTESIA
State CA
ZIP 90701
Phone 562 865-8537
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2025
Certificate Expiration Date 9/2/2027
Facility Type Physician Office
Lab Director KUNGSOO K. KIM MD

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