05D2191117 CLIA NUMBER - KOREATOWN SENIOR CENTER

Laboratory Demographics

  • CLIA Code: 05D2191117
  • Facility Name: KOREATOWN SENIOR CENTER
  • Facility Address: 3400 WEST OLYMPIC BLVD
    LOS ANGELES, CA
    ZIP 90019
  • Facility Phone: 213 804-6054
  • Facility Type: Other - ADULT DAY HLT CARE
  • Facility Type: Waiver
  • Lab Director: SHIN WOOK KANG
  • NPI Number: 1760042915
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2191117
LAB Type Other - ADULT DAY HLT CARE
Facility Name KOREATOWN SENIOR CENTER
Street 3400 WEST OLYMPIC BLVD
City LOS ANGELES
State CA
ZIP 90019
Phone 213 804-6054
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Other - ADULT DAY HLT CARE
Lab Director SHIN WOOK KANG

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