05D0716376 CLIA NUMBER - SANDY KOH MD, INC

Laboratory Demographics

  • CLIA Code: 05D0716376
  • Facility Name: SANDY KOH MD, INC
  • Facility Address: 2727 N PECK RD
    EL MONTE, CA
    ZIP 91733
  • Facility Phone: 626 350-2196
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDY S. KOH
  • NPI Number: 1083726905
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0716376
LAB Type Physician Office
Facility Name SANDY KOH MD, INC
Street 2727 N PECK RD
City EL MONTE
State CA
ZIP 91733
Phone 626 350-2196
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director SANDY S. KOH

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This page was last updated on: 9/29/2025