33D1019650 CLIA NUMBER - WINSTON G DOUGLAS MD PC

Laboratory Demographics

  • CLIA Code: 33D1019650
  • Facility Name: WINSTON G DOUGLAS MD PC
  • Facility Address: 755 WEHRLE DRIVE
    BUFFALO, NY
    ZIP 14225
  • Facility Phone: 716 884-8033
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. WINSTON G. DOUGLAS
  • NPI Number: 1548297328
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1019650
LAB Type Physician Office
Facility Name WINSTON G DOUGLAS MD PC
Street 755 WEHRLE DRIVE
City BUFFALO
State NY
ZIP 14225
Phone 716 884-8033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2023
Certificate Expiration Date 11/23/2025
Facility Type Physician Office
Lab Director DR. WINSTON G. DOUGLAS

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This page was last updated on: 6/4/2025