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50D2170241 CLIA NUMBER - IN KWON PARK INTERNAL MEDICINE INFECTIOUS DISEASES

Laboratory Demographics

CLIA Number: 50D2170241

Facility Name: IN KWON PARK INTERNAL MEDICINE INFECTIOUS DISEASES

Facility Address:
8730 S TACOMA STE 104
LAKEWOOD, WA
ZIP 98499
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Facility Phone Number: 253 212-3637

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1417509746

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 50D2170241
LAB Type Physician Office
Facility Name IN KWON PARK INTERNAL MEDICINE INFECTIOUS DISEASES
Street 8730 S TACOMA STE 104
City LAKEWOOD
State WA
ZIP 98499
Phone 253 212-3637
CertificateType 4
CertificateEffectiveDate 8/6/2019
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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This page was last updated on: 4/23/2024