CLIA lab
CLIA 33D0171600: Brockport Internal Medicine PC
Brockport, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D0171600 belongs to Brockport Internal Medicine PC in Brockport, NY.
Certificate of Waiver, effective October 17, 2025, expires October 16, 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 Waiver
- Certificate effective
- October 17, 2025
- Certificate expiration
- October 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 2, 1993
- 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
- 33D0171600
- Lab name
- Brockport Internal Medicine PC
- Address
- 34 West Avenue, Brockport, NY 14420
- Phone
- (585) 637-2161
- Fax
- (585) 637-5819
Annual test volume the lab reported
- Waived tests
- 5,530
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Brockport, NY
- Brockport Medical Care, PLLCCertificate of Waiver, Physician office33D2060532
- Brockport Optometry, PCCertificate of Waiver, Physician office33D2113966
- Brockport Vine Medical PCCertificate of Waiver, Physician office33D2177268
- CVS Pharmacy No 05123Certificate of Waiver, Pharmacy33D2187453
- Center for UrologyCertificate for Provider-Performed Microscopy Procedures, Physician office33D0173791
- Elderwood of Lakeside at BrockportCertificate of Waiver, Skilled nursing or nursing facility33D0654836
- Evergreen PlaceCertificate of Waiver, Assisted living facility33D2151479
- Hany G Nissiem Family Medicine PLLCCertificate of Waiver, Physician office33D1039535
- Oak Orchard Community Health Center IncCertificate of Waiver, Community clinic33D0171633
- Suny Brockport Student Health CenterCertificate for Provider-Performed Microscopy Procedures, School or student health service33D0677045
Related
Questions
What is the CLIA number for Brockport Internal Medicine PC in Brockport?
33D0171600, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Brockport Internal Medicine PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D0171600 expire?
The CMS file lists October 16, 2027 as the certificate expiration date; the certificate took effect October 17, 2025.