33D2323534 CLIA NUMBER - OLEAN MEDICAL PRACTICE PLLC

Laboratory Demographics

  • CLIA Code: 33D2323534
  • Facility Name: OLEAN MEDICAL PRACTICE PLLC
  • Facility Address: 535 MAIN STREET
    OLEAN, NY
    ZIP 14760
  • Facility Phone: 716 372-0141
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW F. WITTE
  • NPI Number: 1902229883
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 33D2323534
LAB Type Physician Office
Facility Name OLEAN MEDICAL PRACTICE PLLC
Street 535 MAIN STREET
City OLEAN
State NY
ZIP 14760
Phone 716 372-0141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Physician Office
Lab Director MATTHEW F. WITTE

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