33D0706604 CLIA NUMBER - GREAT LAKES PHYSICIAN PC DBA WNY UROLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 33D0706604
  • Facility Name: GREAT LAKES PHYSICIAN PC DBA WNY UROLOGY ASSOCIATES
  • Facility Address: 500 STERLING DRIVE
    ORCHARD PARK, NY
    ZIP 14127
  • Facility Phone: 716 677-2273
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ANTHONY RICOTTONE
  • NPI Number: 1437920576
  • Taxonomy: 207KA0200X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 33D0706604
LAB Type Physician Office
Facility Name GREAT LAKES PHYSICIAN PC DBA WNY UROLOGY ASSOCIATES
Street 500 STERLING DRIVE
City ORCHARD PARK
State NY
ZIP 14127
Phone 716 677-2273
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 6/25/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. ANTHONY RICOTTONE

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