33D2186054 CLIA NUMBER - UPSTATE PHARMACY LTD

Laboratory Demographics

  • CLIA Code: 33D2186054
  • Facility Name: UPSTATE PHARMACY LTD
  • Facility Address: 1900 N AMERICA DR
    WEST SENECA, NY
    ZIP 14224
  • Facility Phone: 716 675-3784
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. THADDEUS J. KUZNIAREK
  • NPI Number: 1033221031
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2186054
LAB Type Pharmacy
Facility Name UPSTATE PHARMACY LTD
Street 1900 N AMERICA DR
City WEST SENECA
State NY
ZIP 14224
Phone 716 675-3784
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2020
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director MR. THADDEUS J. KUZNIAREK

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