33D2187705 CLIA NUMBER - ELMWOOD IMMEDIATE CARE

Laboratory Demographics

CLIA Number: 33D2187705

Facility Name: ELMWOOD IMMEDIATE CARE

Facility Address:
2949 ELMWOOD AVE SUITE 104
KENMORE, NY
ZIP 14217
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Facility Phone Number: 716 800-3040

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1124528724

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D2187705
LAB Type	Physician Office
Facility Name	ELMWOOD IMMEDIATE CARE
Street	2949 ELMWOOD AVE SUITE 104
City	KENMORE
State	NY
ZIP	14217
Phone	716 800-3040
CertificateType	3
CertificateEffectiveDate	7/7/2020
CertificateExpirationDate	3/26/2027
FacilityType	PPMP

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