CLIA lab

CLIA 33D0009240: Port Jervis Community Hospital

Port Jervis, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 33D0009240 belongs to Port Jervis Community Hospital in Port Jervis, NY.

Certificate of Compliance, effective August 28, 1995, expires March 26, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Compliance
Certificate effective
August 28, 1995
Certificate expiration
March 26, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 29, 1992
Facility type
Hospital
Ownership (control type)
Religious affiliation
Lab classification
CLIA exempt laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
33D0009240
Lab name
Port Jervis Community Hospital
Address
160 East Main St, Port Jervis, NY 12771
Phone
(845) 368-5174
Fax
(845) 368-5329

Annual test volume the lab reported

Waived tests
17,262
Other nonwaived tests
688,865
Total
706,127

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Affiliated CLIA numbers

Other labs in Port Jervis, NY

Related

Questions

What is the CLIA number for Port Jervis Community Hospital in Port Jervis?

33D0009240, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Port Jervis Community Hospital hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 33D0009240 expire?

The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect August 28, 1995.

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