CLIA lab
CLIA 33D0962852: Kings Park Primary Medical Care
Kings Park, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D0962852 belongs to Kings Park Primary Medical Care in Kings Park, NY.
Certificate of Waiver, effective February 21, 2026, expires February 20, 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
- February 21, 2026
- Certificate expiration
- February 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 15, 1999
- 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
- 33D0962852
- Lab name
- Kings Park Primary Medical Care
- Address
- 65 Indian Head Road, Kings Park, NY 11754
- Phone
- (631) 269-0180
- Fax
- (631) 269-0178
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Kings Park, NY
Related
Questions
What is the CLIA number for Kings Park Primary Medical Care in Kings Park?
33D0962852, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kings Park Primary Medical Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D0962852 expire?
The CMS file lists February 20, 2028 as the certificate expiration date; the certificate took effect February 21, 2026.