05D2258713 CLIA NUMBER - JONGJIN KIM MD INC

Laboratory Demographics

  • CLIA Code: 05D2258713
  • Facility Name: JONGJIN KIM MD INC
  • Facility Address: 5471 LA PALMA AVE STE 200
    LA PALMA, CA
    ZIP 90623
  • Facility Phone: 714 752-6088
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JONGJIN KIM
  • NPI Number: 1356605836
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2258713
LAB Type Physician Office
Facility Name JONGJIN KIM MD INC
Street 5471 LA PALMA AVE STE 200
City LA PALMA
State CA
ZIP 90623
Phone 714 752-6088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type Physician Office
Lab Director JONGJIN KIM

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