05D2011044 CLIA NUMBER - JOHN C LEE MD INC

Laboratory Demographics

  • CLIA Code: 05D2011044
  • Facility Name: JOHN C LEE MD INC
  • Facility Address: 638 W DUARTE RD # 3A
    ARCADIA, CA
    ZIP 91007
  • Facility Phone: 626 574-6878
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHE-CHERNG LEE
  • NPI Number: 1609816917
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2011044
LAB Type Physician Office
Facility Name JOHN C LEE MD INC
Street 638 W DUARTE RD # 3A
City ARCADIA
State CA
ZIP 91007
Phone 626 574-6878
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Physician Office
Lab Director CHE-CHERNG LEE

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This page was last updated on: 6/4/2025