CLIA lab
CLIA 33D0692461: ST Josephs Physicians - Primary Care
Fayetteville, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D0692461 belongs to ST Josephs Physicians - Primary Care in Fayetteville, NY.
Certificate of Waiver, effective July 24, 2018, 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
- July 24, 2018
- Certificate expiration
- March 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 8, 1993
- Facility type
- Physician office
- 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
- 33D0692461
- Lab name
- ST Josephs Physicians - Primary Care
- Additional name
- Fayetteville Suite 104
- Address
- 4104 Medical Center Dr - Suite 104, Fayetteville, NY 13066
- Phone
- (315) 663-0059
- Fax
- (315) 663-0123
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for ST Josephs Physicians - Primary Care in Fayetteville?
33D0692461, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Josephs Physicians - Primary Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D0692461 expire?
The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect July 24, 2018.