33D2147201 CLIA NUMBER - KM ENTERPRISES INC

Laboratory Demographics

  • CLIA Code: 33D2147201
  • Facility Name: KM ENTERPRISES INC
  • Facility Address: 4871 W TAFT RD
    LIVERPOOL, NY
    ZIP 13088
  • Facility Phone: 315 451-4600
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL S. KRZYZAK
  • NPI Number: 1538230685
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 33D2147201
LAB Type Practitioner Other
Facility Name KM ENTERPRISES INC
Street 4871 W TAFT RD
City LIVERPOOL
State NY
ZIP 13088
Phone 315 451-4600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2018
Certificate Expiration Date 3/26/2027
Facility Type Practitioner Other
Lab Director DR. MICHAEL S. KRZYZAK

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