CLIA lab
CLIA 33D0139386: Jack I Hershman MD
Sleepy Hollow, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D0139386 belongs to Jack I Hershman MD in Sleepy Hollow, NY.
Certificate for Provider-Performed Microscopy Procedures, effective August 12, 2025, expires August 11, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- August 12, 2025
- Certificate expiration
- August 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 24, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 33D0139386
- Lab name
- Jack I Hershman MD
- Address
- 777 N Broadway Suite 309, Sleepy Hollow, NY 10591
- Phone
- (914) 631-3331
- Fax
- (914) 631-5838
Annual test volume the lab reported
- Waived tests
- 2,500
- Provider-performed microscopy tests
- 150
- Total
- 2,650
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Sleepy Hollow, NY
- Kendal on HudsonCertificate of Waiver, Skilled nursing or nursing facility33D1040804
- Nhpp Medicine Specialities at Phelps - 777Certificate for Provider-Performed Microscopy Procedures, Physician office33D2162141
- Open Door Family Medical Center - Sleepy HollowCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center33D2156604
- Phelps Hospital LaboratoryCertificate of Compliance, Hospital33D0139445
- Robert Shirinov Medicine PCCertificate of Waiver, Physician office33D2232881
- Sleepy Hollow Volunteer Ambulance CorpsCertificate of Waiver, Ambulance33D2132902
- Westchester Med Prac PC DBA New York Presby-, theCertificate of Waiver, Physician office33D2119344
Related
Questions
What is the CLIA number for Jack I Hershman MD in Sleepy Hollow?
33D0139386, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jack I Hershman MD hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 33D0139386 expire?
The CMS file lists August 11, 2027 as the certificate expiration date; the certificate took effect August 12, 2025.