05D1082287 CLIA NUMBER - KEVIN T LEE, MD, APC

Laboratory Demographics

  • CLIA Code: 05D1082287
  • Facility Name: KEVIN T LEE, MD, APC
  • Facility Address: 5801 ROSEMEAD BLVD
    TEMPLE CITY, CA
    ZIP 91780
  • Facility Phone: 626 292-1241
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN T. LEE
  • NPI Number: 1063536431
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1082287
LAB Type Physician Office
Facility Name KEVIN T LEE, MD, APC
Street 5801 ROSEMEAD BLVD
City TEMPLE CITY
State CA
ZIP 91780
Phone 626 292-1241
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Physician Office
Lab Director KEVIN T. LEE

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