33D0888308 CLIA NUMBER - KONSTANTINOS KOUTROS MD

Laboratory Demographics

  • CLIA Code: 33D0888308
  • Facility Name: KONSTANTINOS KOUTROS MD
  • Facility Address: 9101 4TH AVENUE
    BROOKLYN, NY
    ZIP 11209
  • Facility Phone: 718 745-0935
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. KONSTANTINOS KOUTROS
  • NPI Number: 1528594306
  • Taxonomy: 171M00000X - Case Manager/Care Coordinator

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CLIA Record

Field Name Field Value
CLIA Number 33D0888308
LAB Type Physician Office
Facility Name KONSTANTINOS KOUTROS MD
Street 9101 4TH AVENUE
City BROOKLYN
State NY
ZIP 11209
Phone 718 745-0935
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/10/2014
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. KONSTANTINOS KOUTROS

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This page was last updated on: 6/4/2025