33D0169211 CLIA NUMBER - EASTERN NIAGARA HOSPITAL 5875 S TRANSIT

Laboratory Demographics

  • CLIA Code: 33D0169211
  • Facility Name: EASTERN NIAGARA HOSPITAL 5875 S TRANSIT
  • Facility Address: 5875 S TRANSIT
    LOCKPORT, NY
    ZIP 14094
  • Facility Phone: 716 433-2025
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. DONALD M. SLATE
  • NPI Number: 1669422697
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 33D0169211
LAB Type Ancillary Testing Site in Health Care Center
Facility Name EASTERN NIAGARA HOSPITAL 5875 S TRANSIT
Street 5875 S TRANSIT
City LOCKPORT
State NY
ZIP 14094
Phone 716 433-2025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2020
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. DONALD M. SLATE

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