33D0168762 CLIA NUMBER - PHILIP A PENEPENT JR MD

Laboratory Demographics

  • CLIA Code: 33D0168762
  • Facility Name: PHILIP A PENEPENT JR MD
  • Facility Address: 5196 GENESEE STREET
    BOWMANSVILLE, NY
    ZIP 14026
  • Facility Phone: 716 681-1895
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHILIP A. PENEPENT JR

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CLIA Record

Field Name Field Value
CLIA Number 33D0168762
LAB Type Physician Office
Facility Name PHILIP A PENEPENT JR MD
Street 5196 GENESEE STREET
City BOWMANSVILLE
State NY
ZIP 14026
Phone 716 681-1895
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director PHILIP A. PENEPENT JR

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