14D0979694 CLIA NUMBER - KYUNG S KIM MD

Laboratory Demographics

  • CLIA Code: 14D0979694
  • Facility Name: KYUNG S KIM MD
  • Facility Address: 241 GOLF MILL CENTER-SUITE 202
    NILES, IL
    ZIP 60714
  • Facility Phone: 847 375-8090
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KYUNG S. KIM MD
  • NPI Number: 1104932136
  • Taxonomy: 207K00000X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 14D0979694
LAB Type Physician Office
Facility Name KYUNG S KIM MD
Street 241 GOLF MILL CENTER-SUITE 202
City NILES
State IL
ZIP 60714
Phone 847 375-8090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Physician Office
Lab Director KYUNG S. KIM MD

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