33D2009210 CLIA NUMBER - GENERAL PHYSICIAN, PC

Laboratory Demographics

  • CLIA Code: 33D2009210
  • Facility Name: GENERAL PHYSICIAN, PC
  • Facility Address: 3898 VINEYARD DRIVE, SUITE 1
    DUNKIRK, NY
    ZIP 14048
  • Facility Phone: 716 363-6960
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD E. CHARLES
  • NPI Number: 1093959322
  • Taxonomy: 208D00000X - General Practice

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2009210
LAB Type Physician Office
Facility Name GENERAL PHYSICIAN, PC
Street 3898 VINEYARD DRIVE, SUITE 1
City DUNKIRK
State NY
ZIP 14048
Phone 716 363-6960
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Physician Office
Lab Director DR. RICHARD E. CHARLES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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