33D0994337 CLIA NUMBER - GENERAL PHYSICIAN PC

Laboratory Demographics

  • CLIA Code: 33D0994337
  • Facility Name: GENERAL PHYSICIAN PC
  • Facility Address: 240 REDTAIL ROAD SUITE, 5 & 6
    ORCHARD PARK, NY
    ZIP 14127
  • Facility Phone: 716 677-0454
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. GIL M. FARKASH
  • NPI Number: 1063236529
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0994337
LAB Type Physician Office
Facility Name GENERAL PHYSICIAN PC
Street 240 REDTAIL ROAD SUITE, 5 & 6
City ORCHARD PARK
State NY
ZIP 14127
Phone 716 677-0454
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Physician Office
Lab Director DR. GIL M. FARKASH

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