05D2304717 CLIA NUMBER - BARON MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2304717
  • Facility Name: BARON MEDICAL GROUP
  • Facility Address: 3800 WILSHIRE BLVD 2ND FLOOR STE A
    LOS ANGELES, CA
    ZIP 90010
  • Facility Phone: 213 210-3916
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAESOON LEEM
  • NPI Number: 1740969591
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2304717
LAB Type Physician Office
Facility Name BARON MEDICAL GROUP
Street 3800 WILSHIRE BLVD 2ND FLOOR STE A
City LOS ANGELES
State CA
ZIP 90010
Phone 213 210-3916
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Physician Office
Lab Director DAESOON LEEM

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