33D2029389 CLIA NUMBER - USRC TONAWANDA INC

Laboratory Demographics

  • CLIA Code: 33D2029389
  • Facility Name: USRC TONAWANDA INC
  • Facility Address: 3161 EGGERT ROAD
    TONAWANDA, NY
    ZIP 14150
  • Facility Phone: (716) 832-0159
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. KRISTIN A. MATTESON
  • NPI Number: 1740583087
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2029389
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name USRC TONAWANDA INC
Street 3161 EGGERT ROAD
City TONAWANDA
State NY
ZIP 14150
Phone 7168320159
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2011
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. KRISTIN A. MATTESON

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This page was last updated on: 5/18/2026