CLIA lab
CLIA 33D0921868: James R Pellegrini MD
Sea Cliff, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D0921868 belongs to James R Pellegrini MD in Sea Cliff, NY.
Certificate of Waiver, effective November 28, 2025, expires November 27, 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
- November 28, 2025
- Certificate expiration
- November 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 7, 1996
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 33D0921868
- Lab name
- James R Pellegrini MD
- Address
- 400 Glen Cove Avenue, Sea Cliff, NY 11579
- Phone
- (516) 676-6838
- Fax
- (516) 676-7534
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Sea Cliff, NY
Related
Questions
What is the CLIA number for James R Pellegrini MD in Sea Cliff?
33D0921868, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does James R Pellegrini MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D0921868 expire?
The CMS file lists November 27, 2027 as the certificate expiration date; the certificate took effect November 28, 2025.