33D1049131 CLIA NUMBER - JOHN MULAWKA DO PC DBA DERBY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 33D1049131
  • Facility Name: JOHN MULAWKA DO PC DBA DERBY PEDIATRICS
  • Facility Address: 6763 ERIE ROAD
    DERBY, NY
    ZIP 14047
  • Facility Phone: 716 947-2222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOHN MULAWKA
  • NPI Number: 1417037755
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D1049131
LAB Type Physician Office
Facility Name JOHN MULAWKA DO PC DBA DERBY PEDIATRICS
Street 6763 ERIE ROAD
City DERBY
State NY
ZIP 14047
Phone 716 947-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director DR. JOHN MULAWKA

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