33D2193162 CLIA NUMBER - JERICHO ROAD COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 33D2193162
  • Facility Name: JERICHO ROAD COMMUNITY HEALTH CENTER
  • Facility Address: 100 E TUPPER ST
    BUFFALO, NY
    ZIP 14203
  • Facility Phone: 716 919-6870
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: KARYANNE L. CARRIZALES
  • NPI Number: 1205474681
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2193162
LAB Type Federally Qualified Health Center
Facility Name JERICHO ROAD COMMUNITY HEALTH CENTER
Street 100 E TUPPER ST
City BUFFALO
State NY
ZIP 14203
Phone 716 919-6870
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/17/2020
Certificate Expiration Date 3/26/2027
Facility Type Federally Qualified Health Center
Lab Director KARYANNE L. CARRIZALES

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