33D2184223 CLIA NUMBER - BLACK ROCK PHARMACY INC

Laboratory Demographics

  • CLIA Code: 33D2184223
  • Facility Name: BLACK ROCK PHARMACY INC
  • Facility Address: 431 TONAWANDA ST
    BUFFALO, NY
    ZIP 14207
  • Facility Phone: 716 876-3070
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. CHESTER H. FOX
  • NPI Number: 1457917544
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2184223
LAB Type Pharmacy
Facility Name BLACK ROCK PHARMACY INC
Street 431 TONAWANDA ST
City BUFFALO
State NY
ZIP 14207
Phone 716 876-3070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2020
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. CHESTER H. FOX

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