33D2197529 CLIA NUMBER - SOM MEDICAL PRACTICE PLLC

Laboratory Demographics

  • CLIA Code: 33D2197529
  • Facility Name: SOM MEDICAL PRACTICE PLLC
  • Facility Address: 251 EAST AVE
    LOCKPORT, NY
    ZIP 14094
  • Facility Phone: 716 257-1248
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SANTANU SOM
  • NPI Number: 1720598501
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2197529
LAB Type Physician Office
Facility Name SOM MEDICAL PRACTICE PLLC
Street 251 EAST AVE
City LOCKPORT
State NY
ZIP 14094
Phone 716 257-1248
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Physician Office
Lab Director DR. SANTANU SOM

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