33D2049471 CLIA NUMBER - ROSWELL PARK CANCER INSTITUTE - NIAGARA CENTER

Laboratory Demographics

  • CLIA Code: 33D2049471
  • Facility Name: ROSWELL PARK CANCER INSTITUTE - NIAGARA CENTER
  • Facility Address: 6934 WILLIAMS RD - SUITE 300
    NIAGARA FALLS, NY
    ZIP 14304
  • Facility Phone: 716 845-3500
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. THAER KHOURY
  • NPI Number: 1952703985
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2049471
LAB Type Ancillary Testing Site in Health Care Center
Facility Name ROSWELL PARK CANCER INSTITUTE - NIAGARA CENTER
Street 6934 WILLIAMS RD - SUITE 300
City NIAGARA FALLS
State NY
ZIP 14304
Phone 716 845-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2012
Certificate Expiration Date 3/26/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. THAER KHOURY

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