33D0170244 CLIA NUMBER - PHILIP D FU MD PC

Laboratory Demographics

  • CLIA Code: 33D0170244
  • Facility Name: PHILIP D FU MD PC
  • Facility Address: 6636 MAIN STREET STE 1
    WILLIAMSVILLE, NY
    ZIP 14221
  • Facility Phone: 716 633-0540
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PHILIP D. FU
  • NPI Number: 1114994084
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0170244
LAB Type Physician Office
Facility Name PHILIP D FU MD PC
Street 6636 MAIN STREET STE 1
City WILLIAMSVILLE
State NY
ZIP 14221
Phone 716 633-0540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2024
Certificate Expiration Date 3/22/2026
Facility Type Physician Office
Lab Director DR. PHILIP D. FU

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