33D0997768 CLIA NUMBER - OLIVIA SMITH-BLACKWELL MD PC MEADOW FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 33D0997768
  • Facility Name: OLIVIA SMITH-BLACKWELL MD PC MEADOW FAMILY MEDICINE
  • Facility Address: 601 DIVISION STREET
    NORTH TONAWANDA, NY
    ZIP 14120
  • Facility Phone: 716 693-4600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. OLIVIA SMITH BLACKWELL
  • NPI Number: 1609802867
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0997768
LAB Type Physician Office
Facility Name OLIVIA SMITH-BLACKWELL MD PC MEADOW FAMILY MEDICINE
Street 601 DIVISION STREET
City NORTH TONAWANDA
State NY
ZIP 14120
Phone 716 693-4600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Physician Office
Lab Director DR. OLIVIA SMITH BLACKWELL

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