33D0983555 CLIA NUMBER - JENNIFER ERICKSON DO & ROBERT ERICKSON DO

Laboratory Demographics

CLIA Number: 33D0983555

Facility Name: JENNIFER ERICKSON DO & ROBERT ERICKSON DO

Facility Address:
3671 S WESTERN BLVD SUITE 101, 213 AND 209
ORCHARD PARK, NY
ZIP 14127
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Facility Phone Number: 716 662-7008

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1609832914

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	33D0983555
LAB Type	Physician Office
Facility Name	JENNIFER ERICKSON DO & ROBERT ERICKSON DO
Street	3671 S WESTERN BLVD SUITE 101, 213 AND 209
City	ORCHARD PARK
State	NY
ZIP	14127
Phone	716 662-7008
CertificateType	4
CertificateEffectiveDate	2/26/2023
CertificateExpirationDate	2/25/2025
FacilityType	Waiver

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