33D0702730 CLIA NUMBER - GREAT LAKES PHYSICIAN PC

Laboratory Demographics

  • CLIA Code: 33D0702730
  • Facility Name: GREAT LAKES PHYSICIAN PC
  • Facility Address: 3085 HARLEM ROAD, SUITE 200
    CHEEKTOWAGA, NY
    ZIP 14225
  • Facility Phone: (716) 844-5000
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JOSEPH M. GRECO
  • NPI Number: 1659310092
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 33D0702730
LAB Type Physician Office
Facility Name GREAT LAKES PHYSICIAN PC
Street 3085 HARLEM ROAD, SUITE 200
City CHEEKTOWAGA
State NY
ZIP 14225
Phone 7168445000
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Physician Office
Lab Director DR. JOSEPH M. GRECO

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This page was last updated on: 5/18/2026