33D2146441 CLIA NUMBER - STALL SENIOR MEDICAL LLC

Laboratory Demographics

  • CLIA Code: 33D2146441
  • Facility Name: STALL SENIOR MEDICAL LLC
  • Facility Address: 4242 RIDGE LEA RD - STE 26
    AMHERST, NY
    ZIP 14226
  • Facility Phone: 716 833-3237
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT S. STALL
  • NPI Number: 1104087915
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2146441
LAB Type Physician Office
Facility Name STALL SENIOR MEDICAL LLC
Street 4242 RIDGE LEA RD - STE 26
City AMHERST
State NY
ZIP 14226
Phone 716 833-3237
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Physician Office
Lab Director ROBERT S. STALL

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