05D2295014 CLIA NUMBER - CALVIN KIM MD INCORPORATED

Laboratory Demographics

  • CLIA Code: 05D2295014
  • Facility Name: CALVIN KIM MD INCORPORATED
  • Facility Address: 4220 W 3RD ST STE 201
    LOS ANGELES, CA
    ZIP 90020
  • Facility Phone: 213 487-4141
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CALVIN A. KIM
  • NPI Number: 1538566047
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2295014
LAB Type Physician Office
Facility Name CALVIN KIM MD INCORPORATED
Street 4220 W 3RD ST STE 201
City LOS ANGELES
State CA
ZIP 90020
Phone 213 487-4141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Physician Office
Lab Director CALVIN A. KIM

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