CLIA lab
CLIA 05D0946552: Alyssa Youngjee Kim, MD
Tustin, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0946552 belongs to Alyssa Youngjee Kim, MD in Tustin, CA.
Certificate of Compliance, effective June 17, 2024, expires October 31, 2026.
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 Compliance
- Certificate effective
- June 17, 2024
- Certificate expiration
- October 31, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 28, 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
- 05D0946552
- Lab name
- Alyssa Youngjee Kim, MD
- Address
- 18102 Irvine Blvd, Ste 206, Tustin, CA 92780
- Phone
- (949) 786-0908
- Fax
- (949) 786-0970
Annual test volume the lab reported
- Other nonwaived tests
- 240
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Alyssa Youngjee Kim, MD in Tustin?
05D0946552, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Alyssa Youngjee Kim, MD hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 05D0946552 expire?
The CMS file lists October 31, 2026 as the certificate expiration date; the certificate took effect June 17, 2024.