05D0983478 CLIA NUMBER - STEVEN R KOE MD

Laboratory Demographics

  • CLIA Code: 05D0983478
  • Facility Name: STEVEN R KOE MD
  • Facility Address: 1000 NEWBURY RD #115
    NEWBURY PARK, CA
    ZIP 91320
  • Facility Phone: 805 375-1611
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEVEN R. KOE MD
  • NPI Number: 1174517296
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0983478
LAB Type Physician Office
Facility Name STEVEN R KOE MD
Street 1000 NEWBURY RD #115
City NEWBURY PARK
State CA
ZIP 91320
Phone 805 375-1611
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Physician Office
Lab Director STEVEN R. KOE 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