05D2110400 CLIA NUMBER - KENNETH W LEE MD & ASSOCIATES INC

Laboratory Demographics

CLIA Number: 05D2110400

Facility Name: KENNETH W LEE MD & ASSOCIATES INC

Facility Address:
210 W BONITA AVE STE 140
POMONA, CA
ZIP 91767
Get Directions

Facility Phone Number: 909 622-3800

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1417023227

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	05D2110400
LAB Type	Physician Office
Facility Name	KENNETH W LEE MD & ASSOCIATES INC
Street	210 W BONITA AVE STE 140
City	POMONA
State	CA
ZIP	91767
Phone	909 622-3800
CertificateType	1
CertificateEffectiveDate	12/11/2022
CertificateExpirationDate	12/10/2024
FacilityType	Accreditation

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024