05D2269464 CLIA NUMBER - KYOUNG KIM MD INC

Laboratory Demographics

  • CLIA Code: 05D2269464
  • Facility Name: KYOUNG KIM MD INC
  • Facility Address: 4160 WILSHIRE BLVD STE 301
    LOS ANGELES, CA
    ZIP 90010
  • Facility Phone: 323 297-3269
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KYOUNG KIM
  • NPI Number: 1811632458
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2269464
LAB Type Physician Office
Facility Name KYOUNG KIM MD INC
Street 4160 WILSHIRE BLVD STE 301
City LOS ANGELES
State CA
ZIP 90010
Phone 323 297-3269
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Physician Office
Lab Director KYOUNG KIM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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