33D2228493 CLIA NUMBER - JERICHO ROAD COMMUNITY HEALTH CENTER

Laboratory Demographics

CLIA Code: 33D2228493
Facility Name: JERICHO ROAD COMMUNITY HEALTH CENTER
Facility Address: 182 BRECKENRIDGE ST
BUFFALO, NY
ZIP 14213
Facility Phone: (716) 348-3011
Facility Type: Federally Qualified Health Center
Facility Type: Microscopy
Lab Director: JAMES D. STOLTZFUS
NPI Number: 1215502711
Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name	Field Value
CLIA Number	33D2228493
LAB Type	Federally Qualified Health Center
Facility Name	JERICHO ROAD COMMUNITY HEALTH CENTER
Street	182 BRECKENRIDGE ST
City	BUFFALO
State	NY
ZIP	14213
Phone	7163483011
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	6/20/2023
Certificate Expiration Date	3/26/2027
Facility Type	Federally Qualified Health Center
Lab Director	JAMES D. STOLTZFUS

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This page was last updated on: 6/29/2026