CLIA lab

CLIA 33D0158139: Island Family Medical Practice, PC

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

CLIA number 33D0158139 belongs to Island Family Medical Practice, PC in North Massapequa, NY.

Certificate of Waiver, effective January 17, 2026, expires January 16, 2028.

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 Waiver
Certificate effective
January 17, 2026
Certificate expiration
January 16, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 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
33D0158139
Lab name
Island Family Medical Practice, PC
Address
848 Hicksville Road, North Massapequa, NY 11758
Phone
(516) 731-3210
Fax
(631) 326-0286

Annual test volume the lab reported

Waived tests
100

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

Other labs in North Massapequa, NY

Related

Questions

What is the CLIA number for Island Family Medical Practice, PC in North Massapequa?

33D0158139, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Island Family Medical Practice, PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 33D0158139 expire?

The CMS file lists January 16, 2028 as the certificate expiration date; the certificate took effect January 17, 2026.

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