33D1003550 CLIA NUMBER - LARRY TETSOTI MD PLLC

Laboratory Demographics

  • CLIA Code: 33D1003550
  • Facility Name: LARRY TETSOTI MD PLLC
  • Facility Address: 23 BRIGHTON 11TH STREET, SUITE 601
    BROOKLYN, NY
    ZIP 11235
  • Facility Phone: 718 336-6166
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. LIBO QIU
  • NPI Number: 1437104361
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 33D1003550
LAB Type Physician Office
Facility Name LARRY TETSOTI MD PLLC
Street 23 BRIGHTON 11TH STREET, SUITE 601
City BROOKLYN
State NY
ZIP 11235
Phone 718 336-6166
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 12/14/2018
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. LIBO QIU

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