05D0864286 CLIA NUMBER - GEMMA T H KO, MD INC

Laboratory Demographics

  • CLIA Code: 05D0864286
  • Facility Name: GEMMA T H KO, MD INC
  • Facility Address: 4511 ROSEMEAD BLVD
    PICO RIVERA, CA
    ZIP 90660
  • Facility Phone: 562 692-3388
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEMMA T. KO MD
  • NPI Number: 1437167715
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0864286
LAB Type Physician Office
Facility Name GEMMA T H KO, MD INC
Street 4511 ROSEMEAD BLVD
City PICO RIVERA
State CA
ZIP 90660
Phone 562 692-3388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2024
Certificate Expiration Date 1/14/2026
Facility Type Physician Office
Lab Director GEMMA T. KO MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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