33D0879184 CLIA NUMBER - JOHN FABIAN MD

Laboratory Demographics

  • CLIA Code: 33D0879184
  • Facility Name: JOHN FABIAN MD
  • Facility Address: 80 MEAD STREET
    NORTH TONAWANDA, NY
    ZIP 14120
  • Facility Phone: 716 693-1596
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN FABIAN
  • NPI Number: 1982635504
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0879184
LAB Type Physician Office
Facility Name JOHN FABIAN MD
Street 80 MEAD STREET
City NORTH TONAWANDA
State NY
ZIP 14120
Phone 716 693-1596
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Physician Office
Lab Director JOHN FABIAN

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