33D0961455 CLIA NUMBER - WILLIAM H STEPHAN MD PC

Laboratory Demographics

  • CLIA Code: 33D0961455
  • Facility Name: WILLIAM H STEPHAN MD PC
  • Facility Address: 533 NIAGARA STREET, SUITE 500
    TONAWANDA, NY
    ZIP 14150
  • Facility Phone: 716 875-7399
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM H. STEPHAN
  • NPI Number: 1952370173
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0961455
LAB Type Physician Office
Facility Name WILLIAM H STEPHAN MD PC
Street 533 NIAGARA STREET, SUITE 500
City TONAWANDA
State NY
ZIP 14150
Phone 716 875-7399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Physician Office
Lab Director DR. WILLIAM H. STEPHAN

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