33D2149303 CLIA NUMBER - HUMBOLDT HOUSE

Laboratory Demographics

  • CLIA Code: 33D2149303
  • Facility Name: HUMBOLDT HOUSE
  • Facility Address: 64 HAGER STREET
    BUFFALO, NY
    ZIP 14208
  • Facility Phone: 716 886-4377
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. PEYMAN E. YOUNESI
  • NPI Number: 1538533278
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2149303
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HUMBOLDT HOUSE
Street 64 HAGER STREET
City BUFFALO
State NY
ZIP 14208
Phone 716 886-4377
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2018
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. PEYMAN E. YOUNESI

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