33D0169304 CLIA NUMBER - DAVID STAHL MD

Laboratory Demographics

  • CLIA Code: 33D0169304
  • Facility Name: DAVID STAHL MD
  • Facility Address: 21 NORTH MAIN STREET
    MIDDLEPORT, NY
    ZIP 14105
  • Facility Phone: 716 735-7774
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID D. STAHL
  • NPI Number: 1255313391
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0169304
LAB Type Physician Office
Facility Name DAVID STAHL MD
Street 21 NORTH MAIN STREET
City MIDDLEPORT
State NY
ZIP 14105
Phone 716 735-7774
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 DAVID D. STAHL

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