33D2185437 CLIA NUMBER - FAMILY MEDICAL PHARMACY

Laboratory Demographics

  • CLIA Code: 33D2185437
  • Facility Name: FAMILY MEDICAL PHARMACY
  • Facility Address: 120 PLAZA DRIVE
    WILLIAMSVILLE, NY
    ZIP 14221
  • Facility Phone: 716 568-0800
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. JEROME M. RUTOWSKI
  • NPI Number: 1376615161
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2185437
LAB Type Pharmacy
Facility Name FAMILY MEDICAL PHARMACY
Street 120 PLAZA DRIVE
City WILLIAMSVILLE
State NY
ZIP 14221
Phone 716 568-0800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2020
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director MR. JEROME M. RUTOWSKI

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This page was last updated on: 6/4/2025