33D0170617 CLIA NUMBER - MAPLE INTERNAL MEDICINE & PEDIATRICS

Laboratory Demographics

  • CLIA Code: 33D0170617
  • Facility Name: MAPLE INTERNAL MEDICINE & PEDIATRICS
  • Facility Address: 1835 MAPLE RD
    WILLIAMSVILLE, NY
    ZIP 14221
  • Facility Phone: 716 634-5410
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MEGHAN L. BOHINCE
  • NPI Number: 1578520854
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D0170617
LAB Type Physician Office
Facility Name MAPLE INTERNAL MEDICINE & PEDIATRICS
Street 1835 MAPLE RD
City WILLIAMSVILLE
State NY
ZIP 14221
Phone 716 634-5410
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. MEGHAN L. BOHINCE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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