33D1021984 CLIA NUMBER - OLEAN MEDICAL PRACTICE PLLC

Laboratory Demographics

  • CLIA Code: 33D1021984
  • Facility Name: OLEAN MEDICAL PRACTICE PLLC
  • Facility Address: 12 MAIN STREET
    FRANKLINVILLE, NY
    ZIP 14737
  • Facility Phone: 716 376-2247
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD D. SCOTT
  • NPI Number: 1043305030
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D1021984
LAB Type Physician Office
Facility Name OLEAN MEDICAL PRACTICE PLLC
Street 12 MAIN STREET
City FRANKLINVILLE
State NY
ZIP 14737
Phone 716 376-2247
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Physician Office
Lab Director DR. RICHARD D. SCOTT

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