33D1094383 CLIA NUMBER - MARCELLE A GRASSI MD

Laboratory Demographics

  • CLIA Code: 33D1094383
  • Facility Name: MARCELLE A GRASSI MD
  • Facility Address: 2560 WALDEN AVENUE, SUITE 107
    CHEEKTOWAGA, NY
    ZIP 14225
  • Facility Phone: 716 651-0726
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MARCELLE A. GRASSI
  • NPI Number: 1881690915
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 33D1094383
LAB Type Physician Office
Facility Name MARCELLE A GRASSI MD
Street 2560 WALDEN AVENUE, SUITE 107
City CHEEKTOWAGA
State NY
ZIP 14225
Phone 716 651-0726
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/16/2025
Certificate Expiration Date 1/15/2027
Facility Type Physician Office
Lab Director DR. MARCELLE A. GRASSI

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This page was last updated on: 3/20/2025