33D2305889 CLIA NUMBER - JERICHO ROAD COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 33D2305889
  • Facility Name: JERICHO ROAD COMMUNITY HEALTH CENTER
  • Facility Address: 1500 MAIN ST
    BUFFALO, NY
    ZIP 14209
  • Facility Phone: 716 503-9777
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: ABIGAIL GRAINGE
  • NPI Number: 1972944080
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2305889
LAB Type Federally Qualified Health Center
Facility Name JERICHO ROAD COMMUNITY HEALTH CENTER
Street 1500 MAIN ST
City BUFFALO
State NY
ZIP 14209
Phone 716 503-9777
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 6/7/2024
Certificate Expiration Date 3/26/2027
Facility Type Federally Qualified Health Center
Lab Director ABIGAIL GRAINGE

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