CLIA lab
CLIA 33D0654836: Elderwood of Lakeside at Brockport
Brockport, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D0654836 belongs to Elderwood of Lakeside at Brockport in Brockport, NY.
Certificate of Waiver, effective September 1, 1994, 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 Waiver
- Certificate effective
- September 1, 1994
- Certificate expiration
- March 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 23, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA exempt laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 33D0654836
- Lab name
- Elderwood of Lakeside at Brockport
- Address
- 170 West Ave, Brockport, NY 14420
- Phone
- (585) 395-6052
- Fax
- (585) 395-6007
Annual test volume the lab reported
- Waived tests
- 20,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Elderwood of Lakeside at BrockportCMS Care Compare ratings for the facility at the same street address
Other labs in Brockport, NY
- Brockport Internal Medicine PCCertificate of Waiver, Physician office33D0171600
- 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
- 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 Elderwood of Lakeside at Brockport in Brockport?
33D0654836, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Elderwood of Lakeside at Brockport hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D0654836 expire?
The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect September 1, 1994.