05D2174997 CLIA NUMBER - DOEYOUNG KIM MD INC

Laboratory Demographics

  • CLIA Code: 05D2174997
  • Facility Name: DOEYOUNG KIM MD INC
  • Facility Address: 2727 WEST OLYMPIC BOULEVARD #302
    LOS ANGELES, CA
    ZIP 90006
  • Facility Phone: 213 674-7350
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOEYOUNG KIM
  • NPI Number: 1093913444
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2174997
LAB Type Physician Office
Facility Name DOEYOUNG KIM MD INC
Street 2727 WEST OLYMPIC BOULEVARD #302
City LOS ANGELES
State CA
ZIP 90006
Phone 213 674-7350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Physician Office
Lab Director DOEYOUNG KIM

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