CLIA lab
CLIA 05D2285863: Kim Youngrae Medical, Inc
Buena Park, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2285863 belongs to Kim Youngrae Medical, Inc in Buena Park, CA.
Certificate of Waiver, effective July 19, 2025, expires July 18, 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
- July 19, 2025
- Certificate expiration
- July 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 19, 2023
- 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
- 05D2285863
- Lab name
- Kim Youngrae Medical, Inc
- Address
- 5730 Beach Blvd Suite 200, Buena Park, CA 90621
- Phone
- (714) 594-6962
- Fax
- (657) 239-0295
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Buena Park, CA
- All Partners Medical, A Prof Medical CorpCertificate of Waiver, Physician office05D2284322
- Allcare Family Medical GroupCertificate of Waiver, Physician office05D2127950
- Buena Park Medical Group IncCertificate of Waiver, Physician office05D0993856
- Buena Park Nursing CenterCertificate of Waiver, Skilled nursing or nursing facility05D0551710
- Buena Park PharmacyCertificate of Waiver, Pharmacy05D2174711
- Buena Park Research Center LLCCertificate of Waiver, Other05D2342812
- Caceres Medical GroupCertificate of Waiver, Physician office05D0865456
- Calm Care, IncCertificate of Waiver, Hospice05D2034249
- Caris Mpi, IncCertificate of Compliance, Independent05D2269564
- Commonwealth Adult Day Health Care CTRCertificate of Waiver, Other05D1008028
Related
Questions
What is the CLIA number for Kim Youngrae Medical, Inc in Buena Park?
05D2285863, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kim Youngrae Medical, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2285863 expire?
The CMS file lists July 18, 2027 as the certificate expiration date; the certificate took effect July 19, 2025.