33D2154792 CLIA NUMBER - BUFFALO BEACON CORPORATION

Laboratory Demographics

  • CLIA Code: 33D2154792
  • Facility Name: BUFFALO BEACON CORPORATION
  • Facility Address: 3354 SHERIDAN DRIVE
    AMHERST, NY
    ZIP 14226
  • Facility Phone: 716 831-1937
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL DEJESUS
  • NPI Number: 1083618672
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 33D2154792
LAB Type Comp. Outpatient Rehab Facility
Facility Name BUFFALO BEACON CORPORATION
Street 3354 SHERIDAN DRIVE
City AMHERST
State NY
ZIP 14226
Phone 716 831-1937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2018
Certificate Expiration Date 3/26/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director DR. MICHAEL DEJESUS

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