CLIA lab
CLIA 33D0158777: Mark Di Benedetto MD
Port Jefferson, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D0158777 belongs to Mark Di Benedetto MD in Port Jefferson, NY.
Certificate of Waiver, effective January 21, 2026, expires January 20, 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 21, 2026
- Certificate expiration
- January 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 33D0158777
- Lab name
- Mark Di Benedetto MD
- Address
- 710 Main, Port Jefferson, NY 11777
- Phone
- (631) 474-4000
Other labs in Port Jefferson, NY
- Advanced Gastroenterology & Endoscopy, PCCertificate of Compliance, Physician office33D2058269
- Brookhaven Gastroenterology Associates PCCertificate of Waiver, Physician office33D2273244
- CS Medical Associates PCCertificate of Waiver, Physician office33D2341406
- Good Samaritan Unviersity HospitalCertificate of Compliance, Hospital33D0158845
- Good Shepherd Hospice Inpatient CenterCertificate of Waiver, Hospice33D2058292
- Harbor View Medical Services PCCertificate of Waiver, Ancillary test site33D2109161
- Jim Best DO PCCertificate of Waiver, Physician office33D2018029
- Mather Chemical Dependency ClinicCertificate of Waiver, Other33D2211199
- Mather Hospital Northwell HealthCertificate of Compliance, Hospital33D0158831
- Mather Hospital Northwell Health WoundCertificate of Waiver, Ambulatory surgery center33D1078901
Related
Questions
What is the CLIA number for Mark Di Benedetto MD in Port Jefferson?
33D0158777, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mark Di Benedetto MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D0158777 expire?
The CMS file lists January 20, 2028 as the certificate expiration date; the certificate took effect January 21, 2026.