05D1016965 CLIA NUMBER - Y J LEE MD CORP

Laboratory Demographics

  • CLIA Code: 05D1016965
  • Facility Name: Y J LEE MD CORP
  • Facility Address: 266 S HARVARD BLVD #100
    LOS ANGELES, CA
    ZIP 90004
  • Facility Phone: 213 383-9388
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YOUNG J. LEE
  • NPI Number: 1952976359
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1016965
LAB Type Physician Office
Facility Name Y J LEE MD CORP
Street 266 S HARVARD BLVD #100
City LOS ANGELES
State CA
ZIP 90004
Phone 213 383-9388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Physician Office
Lab Director YOUNG J. LEE

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