36D1099411 CLIA NUMBER - HYO KIM MD INC

Laboratory Demographics

  • CLIA Code: 36D1099411
  • Facility Name: HYO KIM MD INC
  • Facility Address: 2022 NORTH ROAD SE
    WARREN, OH
    ZIP 44484
  • Facility Phone: 330 989-5010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HYO H. KIM
  • NPI Number: 1760475446
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 36D1099411
LAB Type Physician Office
Facility Name HYO KIM MD INC
Street 2022 NORTH ROAD SE
City WARREN
State OH
ZIP 44484
Phone 330 989-5010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Physician Office
Lab Director HYO H. KIM

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