33D2169408 CLIA NUMBER - DUNKIRK VA CBOC CLINIC

Laboratory Demographics

CLIA Number: 33D2169408

Facility Name: DUNKIRK VA CBOC CLINIC

Facility Address:
1170 CENTRAL AVE
DUNKIRK, NY
ZIP 14048
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Facility Phone Number: 716 203-6474

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1013960574

Taxonomy: 261QV0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2169408
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	DUNKIRK VA CBOC CLINIC
Street	1170 CENTRAL AVE
City	DUNKIRK
State	NY
ZIP	14048
Phone	716 203-6474
CertificateType	4
CertificateEffectiveDate	11/6/2019
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024