05D2312149 CLIA NUMBER - HUMANE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D2312149
  • Facility Name: HUMANE MEDICAL GROUP
  • Facility Address: 3071 W OLYMPIC BLVD #100
    LOS ANGELES, CA
    ZIP 90006
  • Facility Phone: 213 446-3046
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES C. KIM
  • NPI Number: 1164251633
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2312149
LAB Type Physician Office
Facility Name HUMANE MEDICAL GROUP
Street 3071 W OLYMPIC BLVD #100
City LOS ANGELES
State CA
ZIP 90006
Phone 213 446-3046
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Physician Office
Lab Director CHARLES C. 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