33D2275737 CLIA NUMBER - PAUL DEJAC, PHYSICIAN, PC

Laboratory Demographics

  • CLIA Code: 33D2275737
  • Facility Name: PAUL DEJAC, PHYSICIAN, PC
  • Facility Address: 656 ELMWOOD AVENUE
    BUFFALO, NY
    ZIP 14222
  • Facility Phone: 716 883-0515
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL DEJAC
  • NPI Number: 1457796997
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2275737
LAB Type Physician Office
Facility Name PAUL DEJAC, PHYSICIAN, PC
Street 656 ELMWOOD AVENUE
City BUFFALO
State NY
ZIP 14222
Phone 716 883-0515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Physician Office
Lab Director PAUL DEJAC

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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