33D0168876 CLIA NUMBER - EAST AURORA PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 33D0168876
  • Facility Name: EAST AURORA PEDIATRICS PC
  • Facility Address: 94 OLEAN STREET, SUITE 210
    EAST AURORA, NY
    ZIP 14052
  • Facility Phone: 716 652-0237
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANJU GUPTA
  • NPI Number: 1447212139
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0168876
LAB Type Physician Office
Facility Name EAST AURORA PEDIATRICS PC
Street 94 OLEAN STREET, SUITE 210
City EAST AURORA
State NY
ZIP 14052
Phone 716 652-0237
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. ANJU GUPTA

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