11D0952389 CLIA NUMBER - DAVID E KIM, MD, PC

Laboratory Demographics

  • CLIA Code: 11D0952389
  • Facility Name: DAVID E KIM, MD, PC
  • Facility Address: 491 EAST MAIN STREET
    CARTERSVILLE, GA
    ZIP 30121
  • Facility Phone: 770 387-4512
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID E. KIM
  • NPI Number: 1508959750
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D0952389
LAB Type Physician Office
Facility Name DAVID E KIM, MD, PC
Street 491 EAST MAIN STREET
City CARTERSVILLE
State GA
ZIP 30121
Phone 770 387-4512
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Physician Office
Lab Director DAVID E. KIM

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