33D2188125 CLIA NUMBER - JESSE KO MD PLLC

Laboratory Demographics

  • CLIA Code: 33D2188125
  • Facility Name: JESSE KO MD PLLC
  • Facility Address: 209-45 45TH RD, 1ST FL
    BAYSIDE, NY
    ZIP 11361
  • Facility Phone: 718 423-7200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JESSE KO
  • NPI Number: 1770549289
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D2188125
LAB Type Physician Office
Facility Name JESSE KO MD PLLC
Street 209-45 45TH RD, 1ST FL
City BAYSIDE
State NY
ZIP 11361
Phone 718 423-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2024
Certificate Expiration Date 7/12/2026
Facility Type Physician Office
Lab Director DR. JESSE KO

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