05D2113177 CLIA NUMBER - KOREAN COMMUNITY SERVICES INC

Laboratory Demographics

  • CLIA Code: 05D2113177
  • Facility Name: KOREAN COMMUNITY SERVICES INC
  • Facility Address: 7212 ORANGETHORPE AVE STE 9A
    BUENA PARK, CA
    ZIP 90621
  • Facility Phone: 714 503-6550
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. NICHOLE A. QUICK
  • NPI Number: 1295326783
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2113177
LAB Type Federally Qualified Health Center
Facility Name KOREAN COMMUNITY SERVICES INC
Street 7212 ORANGETHORPE AVE STE 9A
City BUENA PARK
State CA
ZIP 90621
Phone 714 503-6550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Federally Qualified Health Center
Lab Director DR. NICHOLE A. QUICK

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