33D2300472 CLIA NUMBER - ACADEMIC MEDICINE SERVICES

Laboratory Demographics

  • CLIA Code: 33D2300472
  • Facility Name: ACADEMIC MEDICINE SERVICES
  • Facility Address: 1020 YOUNGS RD
    WILLIAMSVILLE, NY
    ZIP 14221
  • Facility Phone: 716 961-9900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AMRUTHA IDUPUGANTI
  • NPI Number: 1255394763
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2300472
LAB Type Physician Office
Facility Name ACADEMIC MEDICINE SERVICES
Street 1020 YOUNGS RD
City WILLIAMSVILLE
State NY
ZIP 14221
Phone 716 961-9900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. AMRUTHA IDUPUGANTI

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