33D2193165 CLIA NUMBER - JERICHO ROAD COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 33D2193165
  • Facility Name: JERICHO ROAD COMMUNITY HEALTH CENTER
  • Facility Address: 21 DOAT ST
    BUFFALO, NY
    ZIP 14211
  • Facility Phone: 716 892-2775
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: MS. TAKESHA L. LEONARD
  • NPI Number: 1619307022
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2193165
LAB Type Federally Qualified Health Center
Facility Name JERICHO ROAD COMMUNITY HEALTH CENTER
Street 21 DOAT ST
City BUFFALO
State NY
ZIP 14211
Phone 716 892-2775
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 MS. TAKESHA L. LEONARD

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