CLIA lab
CLIA 05D1009761: Bangsun Justin Kim MD Inc
Irvine, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1009761 belongs to Bangsun Justin Kim MD Inc in Irvine, CA.
Certificate of Waiver, effective February 25, 2025, expires February 24, 2027.
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
- February 25, 2025
- Certificate expiration
- February 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 25, 2003
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 05D1009761
- Lab name
- Bangsun Justin Kim MD Inc
- Address
- 2500 Alton Parkway Ste 108, Irvine, CA 92606
- Phone
- (949) 552-8282
- Fax
- (949) 552-2215
Annual test volume the lab reported
- Waived tests
- 600
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 Bangsun Justin Kim MD Inc in Irvine?
05D1009761, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bangsun Justin Kim MD Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D1009761 expire?
The CMS file lists February 24, 2027 as the certificate expiration date; the certificate took effect February 25, 2025.