39D1014581 CLIA NUMBER - HELENE M KOCH DO

Laboratory Demographics

  • CLIA Code: 39D1014581
  • Facility Name: HELENE M KOCH DO
  • Facility Address: 25 BALA AVENUE SUITE 205
    BALA CYNWYD, PA
    ZIP 19004
  • Facility Phone: (610) 667-6363
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. HELENE M. KOCH DO
  • NPI Number: 1598723819
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 39D1014581
LAB Type Physician Office
Facility Name HELENE M KOCH DO
Street 25 BALA AVENUE SUITE 205
City BALA CYNWYD
State PA
ZIP 19004
Phone 6106676363
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 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Physician Office
Lab Director DR. HELENE M. KOCH DO

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