33D1011623 CLIA NUMBER - CHAUTAUQUA COUNTY DEPARTMENT OF HEALTH

Laboratory Demographics

  • CLIA Code: 33D1011623
  • Facility Name: CHAUTAUQUA COUNTY DEPARTMENT OF HEALTH
  • Facility Address: 7 N ERLE STREET
    MAYVILLE, NY
    ZIP 14757
  • Facility Phone: 716 661-8111
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL W. FAULK
  • NPI Number: 1861032575
  • Taxonomy: 103TC2200X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 33D1011623
LAB Type Ancillary Testing Site in Health Care Center
Facility Name CHAUTAUQUA COUNTY DEPARTMENT OF HEALTH
Street 7 N ERLE STREET
City MAYVILLE
State NY
ZIP 14757
Phone 716 661-8111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. MICHAEL W. FAULK

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