CLIA lab
CLIA 33D0984854: Great Lakes Physician PC
Springville, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D0984854 belongs to Great Lakes Physician PC in Springville, NY.
Certificate for Provider-Performed Microscopy Procedures, effective April 2, 2025, expires April 1, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- April 2, 2025
- Certificate expiration
- April 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 2, 2001
- 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
- 33D0984854
- Lab name
- Great Lakes Physician PC
- Address
- 21 East Main Street, Springville, NY 14141
- Phone
- (716) 631-0932
- Fax
- (716) 631-2826
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- Bertrand Chaffee Hospital LaboratoryCertificate of Compliance, Hospital33D0169497
- Bertrand Chaffee Primary CareCertificate of Waiver, Rural health clinic33D2242133
- Fiddlers Green Manor Nursing HomeCertificate of Waiver, Skilled nursing or nursing facility33D0880319
- General Physician, PCCertificate for Provider-Performed Microscopy Procedures, Physician office33D2136020
- Mortons Corners Volunteer Fire DepartmentCertificate of Waiver, Ambulance33D2124242
- Springville CbocCertificate of Waiver, Ancillary test site33D2191331
- Springville Pediatrics LLPCertificate for Provider-Performed Microscopy Procedures, Physician office33D0988279
- Springville Volunteer Fire Company IncCertificate of Waiver, Ambulance33D2293303
- Tim Siepel MD PCCertificate of Waiver, Physician office33D2298401
Related
Questions
What is the CLIA number for Great Lakes Physician PC in Springville?
33D0984854, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Great Lakes Physician PC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 33D0984854 expire?
The CMS file lists April 1, 2027 as the certificate expiration date; the certificate took effect April 2, 2025.