CLIA lab
CLIA 05D2258713: Jongjin Kim MD Inc
La Palma, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2258713 belongs to Jongjin Kim MD Inc in La Palma, CA.
Certificate of Waiver, effective April 26, 2026, expires April 25, 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 26, 2026
- Certificate expiration
- April 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 26, 2022
- 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
- 05D2258713
- Lab name
- Jongjin Kim MD Inc
- Address
- 5471 La Palma Ave Ste 200, La Palma, CA 90623
- Phone
- (714) 752-6088
- Fax
- (657) 577-9135
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Arthritis and OsteoporosisCertificate of Waiver, Physician office05D0900331
- Concentra-La PalmaCertificate of Waiver, Physician office05D1101773
- Emc Home Health Providers, IncCertificate of Waiver, Home health agency05D1089978
- Good Life Medical Group, Inc La PalmaCertificate of Waiver, Physician office05D2090096
- Grace Community PharmacyCertificate of Waiver, Pharmacy05D2288227
- Humbled One Medical GroupCertificate of Waiver, Physician office05D2306910
- Imax Clinical Trials, LLCCertificate of Waiver, Other05D2301666
- Ivy Park at La PalmaCertificate of Waiver, Assisted living facility05D2295766
- Ivy Park at MontereyCertificate of Waiver, Assisted living facility05D2295767
Related
Questions
What is the CLIA number for Jongjin Kim MD Inc in La Palma?
05D2258713, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jongjin Kim MD Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2258713 expire?
The CMS file lists April 25, 2028 as the certificate expiration date; the certificate took effect April 26, 2026.