CLIA lab
CLIA 05D0943924: Hong S Kim MD Inc
Garden Grove, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0943924 belongs to Hong S Kim MD Inc in Garden Grove, CA.
Certificate of Waiver, effective April 6, 2026, expires April 5, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 6, 2026
- Certificate expiration
- April 5, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 6, 1998
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0943924
- Lab name
- Hong S Kim MD Inc
- Address
- 12665 Garden Grove Blvd #503, Garden Grove, CA 92843
- Phone
- (714) 530-3740
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Advanced Healthcare PharmacyCertificate of Waiver, Pharmacy05D2188715
- Alta Gardens Care CenterCertificate of Waiver, Skilled nursing or nursing facility05D0577163
- Alta Home Health Care Services IncCertificate of Waiver, Home health agency05D2283074
- Altamed Medical Group-Garden Grove HarborCertificate of Waiver, Community clinic05D1106763
- Bethel Medical Group, Inc.Certificate of Waiver, Physician office05D2147855
- Brookdale Garden GroveCertificate of Waiver, Assisted living facility05D2215464
- Brookdale Valley ViewCertificate of Waiver, Assisted living facility05D2215530
Related
Questions
What is the CLIA number for Hong S Kim MD Inc in Garden Grove?
05D0943924, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hong S Kim MD Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D0943924 expire?
The CMS file lists April 5, 2028 as the certificate expiration date; the certificate took effect April 6, 2026.