33D2088881 CLIA NUMBER - MARGARET A STUTZMAN ADDICTION TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 33D2088881
  • Facility Name: MARGARET A STUTZMAN ADDICTION TREATMENT CENTER
  • Facility Address: 360 FOREST AVENUE
    BUFFALO, NY
    ZIP 14213
  • Facility Phone: 716 882-4900
  • Facility Type: Other - INPATIENT ADDICT TREATMNT
  • Facility Type: Waiver
  • Lab Director: DR. ANIL K. TRIPATHY
  • NPI Number: 1275108243
  • Taxonomy: 101Y00000X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 33D2088881
LAB Type Other - INPATIENT ADDICT TREATMNT
Facility Name MARGARET A STUTZMAN ADDICTION TREATMENT CENTER
Street 360 FOREST AVENUE
City BUFFALO
State NY
ZIP 14213
Phone 716 882-4900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2014
Certificate Expiration Date 3/26/2027
Facility Type Other - INPATIENT ADDICT TREATMNT
Lab Director DR. ANIL K. TRIPATHY

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