33D2090748 CLIA NUMBER - OLEAN MEDICAL PRACTICE PLLC

Laboratory Demographics

  • CLIA Code: 33D2090748
  • Facility Name: OLEAN MEDICAL PRACTICE PLLC
  • Facility Address: 449 BROAD STREET
    SALAMANCA, NY
    ZIP 14779
  • Facility Phone: 716 376-2247
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD D. SCOTT
  • NPI Number: 1194122382
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2090748
LAB Type Physician Office
Facility Name OLEAN MEDICAL PRACTICE PLLC
Street 449 BROAD STREET
City SALAMANCA
State NY
ZIP 14779
Phone 716 376-2247
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Physician Office
Lab Director DR. RICHARD D. SCOTT

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