05D1055432 CLIA NUMBER - PETER H LEE MD

Laboratory Demographics

  • CLIA Code: 05D1055432
  • Facility Name: PETER H LEE MD
  • Facility Address: 4220 W 3RD STREET #203
    LOS ANGELES, CA
    ZIP 90020
  • Facility Phone: 213 480-3380
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER H. LEE
  • NPI Number: 1932237013
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1055432
LAB Type Physician Office
Facility Name PETER H LEE MD
Street 4220 W 3RD STREET #203
City LOS ANGELES
State CA
ZIP 90020
Phone 213 480-3380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Physician Office
Lab Director PETER H. LEE

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