33D0949532 CLIA NUMBER - BROADWAY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 33D0949532
  • Facility Name: BROADWAY PEDIATRICS
  • Facility Address: 1021 BROADWAY ST BUFFALO
    BUFFALO, NY
    ZIP 14212
  • Facility Phone: 716 852-1578
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. JEFFREY J. YU
  • NPI Number: 1295949311
  • Taxonomy: 156FX1800X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 33D0949532
LAB Type Ancillary Testing Site in Health Care Center
Facility Name BROADWAY PEDIATRICS
Street 1021 BROADWAY ST BUFFALO
City BUFFALO
State NY
ZIP 14212
Phone 716 852-1578
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2023
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. JEFFREY J. YU

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