CLIA lab

CLIA 33D0695091: Pediatric and Adolescent Health MD PC

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

CLIA number 33D0695091 belongs to Pediatric and Adolescent Health MD PC in Johnson City, NY.

Certificate of Waiver, effective September 1, 2026, expires August 31, 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
September 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 29, 1994
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
33D0695091
Lab name
Pediatric and Adolescent Health MD PC
Address
639 Main Street, Johnson City, NY 13790
Phone
(607) 770-1988

Annual test volume the lab reported

Waived tests
1,200

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

Other labs in Johnson City, NY

Related

Questions

What is the CLIA number for Pediatric and Adolescent Health MD PC in Johnson City?

33D0695091, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pediatric and Adolescent Health MD PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 33D0695091 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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