KBL

GUDID G5103230074881

Light Sources, Inc.

Ultraviolet tanning device

• Primary Device ID: G5103230074881
• NIH Device Record Key: 2df31df8-708a-4999-b958-589964a1f11e
• Commercial Distribution Status: In Commercial Distribution
• Brand Name: KBL
• Version Model Number: 3230074881 F
• Company DUNS: 075058495
• Company Name: Light Sources, Inc.
• Device Count: 1
• DM Exempt: false
• Pre-market Exempt: true
• MRI Safety Status: Labeling does not contain MRI Safety Information
• Human Cell/Tissue Product: false
• Device Kit: false
• Device Combination Product: false
• Single Use: false
• Lot Batch: true
• Serial Number: false
• Manufacturing Date: true
• Expiration Date: true
• Donation Id Number: false
• Contains Natural Rubber Latex: false
• Labeled No Natural Rubber Latex: true
• RX Perscription: false
• OTC Over-The-Counter: false

Device Identifiers

Device Issuing Agency	Device ID
HIBCC	G5103230074881 [Primary]

FDA Product Code

• LEJ: Booth, Sun Tan

Sterilization

• Steralize Prior To Use: false
• Device Is Sterile: false

Device Entry Metadata

• Public Version Status: New
• Device Record Status: Published
• Public Version Number: 1
• Public Version Date: 2024-12-11
• Device Publish Date: 2024-12-03

On-Brand Devices [KBL]

• G51031030: 3103
• G5103230074881: 3230074881 F
• G5103230074860: 3230074860 B