05D0973414 CLIA NUMBER - YIU FUN DEREK LEE MD INC

Laboratory Demographics

CLIA Number: 05D0973414

Facility Name: YIU FUN DEREK LEE MD INC

Facility Address:
2440 S HACIENDA BLVD STE 116
HACIENDA HEIGHTS, CA
ZIP 91745
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Facility Phone Number: 626 369-1886

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1114081981

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	05D0973414
LAB Type	Physician Office
Facility Name	YIU FUN DEREK LEE MD INC
Street	2440 S HACIENDA BLVD STE 116
City	HACIENDA HEIGHTS
State	CA
ZIP	91745
Phone	626 369-1886
CertificateType	4
CertificateEffectiveDate	1/7/2023
CertificateExpirationDate	1/6/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024