33D0921028 CLIA NUMBER - CARE MEDICAL PRACTICE PLLC

Laboratory Demographics

  • CLIA Code: 33D0921028
  • Facility Name: CARE MEDICAL PRACTICE PLLC
  • Facility Address: 564 NIAGARA STREET BUILDING 2
    BUFFALO, NY
    ZIP 14201
  • Facility Phone: 716 882-0366
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: DR. GARY CARPENTER
  • NPI Number: 1164594099
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 33D0921028
LAB Type Mobile Laboratory
Facility Name CARE MEDICAL PRACTICE PLLC
Street 564 NIAGARA STREET BUILDING 2
City BUFFALO
State NY
ZIP 14201
Phone 716 882-0366
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Mobile Laboratory
Lab Director DR. GARY CARPENTER

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