33D1081637 CLIA NUMBER - KOA & KEONI MEDICAL PLLC

Laboratory Demographics

  • CLIA Code: 33D1081637
  • Facility Name: KOA & KEONI MEDICAL PLLC
  • Facility Address: 139 CENTRE STREET, SUITE 724
    NEW YORK, NY
    ZIP 10013
  • Facility Phone: (212) 334-2200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. VIVIAN Y. LI-HIRASHIKI
  • NPI Number: 1013188317
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1081637
LAB Type Physician Office
Facility Name KOA & KEONI MEDICAL PLLC
Street 139 CENTRE STREET, SUITE 724
City NEW YORK
State NY
ZIP 10013
Phone 2123342200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2026
Certificate Expiration Date 3/20/2028
Facility Type Physician Office
Lab Director DR. VIVIAN Y. LI-HIRASHIKI

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This page was last updated on: 5/18/2026