33D2190185 CLIA NUMBER - KENNETHJGUTHMD PC

Laboratory Demographics

  • CLIA Code: 33D2190185
  • Facility Name: KENNETHJGUTHMD PC
  • Facility Address: 4 CENTER DRIVE SUITE G
    ORCHARD PARK, NY
    ZIP 14127
  • Facility Phone: 716 740-1700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH J. GUTH
  • NPI Number: 1306487525
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2190185
LAB Type Physician Office
Facility Name KENNETHJGUTHMD PC
Street 4 CENTER DRIVE SUITE G
City ORCHARD PARK
State NY
ZIP 14127
Phone 716 740-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Physician Office
Lab Director KENNETH J. GUTH

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