33D0914012 CLIA NUMBER - CENTURY AIRPORT PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 33D0914012
  • Facility Name: CENTURY AIRPORT PEDIATRICS PC
  • Facility Address: 790 RIDGE RD 1ST FLOOR
    LACKAWANNA, NY
    ZIP 14218
  • Facility Phone: 716 893-7337
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ANTHONY T. VETRANO
  • NPI Number: 1508890393
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0914012
LAB Type Physician Office
Facility Name CENTURY AIRPORT PEDIATRICS PC
Street 790 RIDGE RD 1ST FLOOR
City LACKAWANNA
State NY
ZIP 14218
Phone 716 893-7337
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 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Physician Office
Lab Director DR. ANTHONY T. VETRANO

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