33D0170376 CLIA NUMBER - GENERAL PHYSICIANS PC

Laboratory Demographics

  • CLIA Code: 33D0170376
  • Facility Name: GENERAL PHYSICIANS PC
  • Facility Address: 1430 COLVIN BOULEVARD
    TOWN OF TONAWANDA, NY
    ZIP 14223
  • Facility Phone: 716 874-4060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD E. CHARLES
  • NPI Number: 1568429330
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0170376
LAB Type Physician Office
Facility Name GENERAL PHYSICIANS PC
Street 1430 COLVIN BOULEVARD
City TOWN OF TONAWANDA
State NY
ZIP 14223
Phone 716 874-4060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Physician Office
Lab Director DR. RICHARD E. CHARLES

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