05D2052278 CLIA NUMBER - SJ BYEON MEDICAL CORP

Laboratory Demographics

  • CLIA Code: 05D2052278
  • Facility Name: SJ BYEON MEDICAL CORP
  • Facility Address: 19115 COLIMA RD SUITE 102
    ROWLAND HEIGHTS, CA
    ZIP 91748
  • Facility Phone: 626 912-2911
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SANG JUN BYEON
  • NPI Number: 1942551718
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2052278
LAB Type Physician Office
Facility Name SJ BYEON MEDICAL CORP
Street 19115 COLIMA RD SUITE 102
City ROWLAND HEIGHTS
State CA
ZIP 91748
Phone 626 912-2911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Physician Office
Lab Director DR. SANG JUN BYEON

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