33D0941773 CLIA NUMBER - CATTARAUGUS INDIAN RESERVATION HEALTH

Laboratory Demographics

CLIA Number: 33D0941773

Facility Name: CATTARAUGUS INDIAN RESERVATION HEALTH

Facility Address:
36 THOMAS INDIAN SCHOOL DRIVE
IRVING, NY
ZIP 14081
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Facility Phone Number: 716 532-5582

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1477562288

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D0941773
LAB Type	Other
Facility Name	CATTARAUGUS INDIAN RESERVATION HEALTH
Street	36 THOMAS INDIAN SCHOOL DRIVE
City	IRVING
State	NY
ZIP	14081
Phone	716 532-5582
CertificateType	4
CertificateEffectiveDate	3/3/2024
CertificateExpirationDate	3/2/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024