33D1078213 CLIA NUMBER - KEN-TON OPEN MRI

Laboratory Demographics

  • CLIA Code: 33D1078213
  • Facility Name: KEN-TON OPEN MRI
  • Facility Address: 2882 ELMWOOD AVENUE
    KENMORE, NY
    ZIP 14217
  • Facility Phone: 716 876-7000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH SERGHANY
  • NPI Number: 1427004399
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 33D1078213
LAB Type Physician Office
Facility Name KEN-TON OPEN MRI
Street 2882 ELMWOOD AVENUE
City KENMORE
State NY
ZIP 14217
Phone 716 876-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Physician Office
Lab Director JOSEPH SERGHANY

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