05D1091800 CLIA NUMBER - HYESUN KIM MD, INC

Laboratory Demographics

  • CLIA Code: 05D1091800
  • Facility Name: HYESUN KIM MD, INC
  • Facility Address: 62 CORPORATE PARK STE 115
    IRVINE, CA
    ZIP 92606
  • Facility Phone: 949 752-7575
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HYESUN KIM MD
  • NPI Number: 1518157585
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1091800
LAB Type Physician Office
Facility Name HYESUN KIM MD, INC
Street 62 CORPORATE PARK STE 115
City IRVINE
State CA
ZIP 92606
Phone 949 752-7575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Physician Office
Lab Director HYESUN KIM MD

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