33D0988623 CLIA NUMBER - PEDIATRIC CARDIOLOGY ASSOCIATES OF WNY, LLC

Laboratory Demographics

CLIA Number: 33D0988623

Facility Name: PEDIATRIC CARDIOLOGY ASSOCIATES OF WNY, LLC

Facility Address:
936 DELAWARE AVENUE, SUITE 100
BUFFALO, NY
ZIP 14209
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Facility Phone Number: 716 885-5437

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1518023613

Taxonomy: 2080P0202X - Pediatrics
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

CLIA Record

Field Name Field Value
CLIA Number 33D0988623
LAB Type Physician Office
Facility Name PEDIATRIC CARDIOLOGY ASSOCIATES OF WNY, LLC
Street 936 DELAWARE AVENUE, SUITE 100
City BUFFALO
State NY
ZIP 14209
Phone 716 885-5437
CertificateType 4
CertificateEffectiveDate 7/3/2023
CertificateExpirationDate 7/2/2025
FacilityType Waiver

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