50D0858543 CLIA NUMBER - DOUG S KIM MD

Laboratory Demographics

  • CLIA Code: 50D0858543
  • Facility Name: DOUG S KIM MD
  • Facility Address: 31830 PACIFIC HWY S STE D
    FEDERAL WAY, WA
    ZIP 98003
  • Facility Phone: 253 941-7100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DOUG S. KIM
  • NPI Number: 1720087067
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D0858543
LAB Type Physician Office
Facility Name DOUG S KIM MD
Street 31830 PACIFIC HWY S STE D
City FEDERAL WAY
State WA
ZIP 98003
Phone 253 941-7100
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/1992
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director DOUG S. KIM

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