05D2292555 CLIA NUMBER - SUNG HYUN KIM MD A MEDICAL CORP

Laboratory Demographics

  • CLIA Code: 05D2292555
  • Facility Name: SUNG HYUN KIM MD A MEDICAL CORP
  • Facility Address: 903 CRENSHAW BLVD STE 104
    LOS ANGELES, CA
    ZIP 90019
  • Facility Phone: 714 562-9139
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUNG HYUN KIM
  • NPI Number: 1447665369
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2292555
LAB Type Physician Office
Facility Name SUNG HYUN KIM MD A MEDICAL CORP
Street 903 CRENSHAW BLVD STE 104
City LOS ANGELES
State CA
ZIP 90019
Phone 714 562-9139
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director SUNG HYUN KIM

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