33D0898274 CLIA NUMBER - GENERAL PHYSICIAN PC

Laboratory Demographics

  • CLIA Code: 33D0898274
  • Facility Name: GENERAL PHYSICIAN PC
  • Facility Address: 7020 ERIE ROAD
    DERBY, NY
    ZIP 14047
  • Facility Phone: 716 656-4077
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. AUGUST BRUNO
  • NPI Number: 1538113873
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D0898274
LAB Type Physician Office
Facility Name GENERAL PHYSICIAN PC
Street 7020 ERIE ROAD
City DERBY
State NY
ZIP 14047
Phone 716 656-4077
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 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Physician Office
Lab Director DR. AUGUST BRUNO

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