CLIA lab

CLIA 33D1013307: Timber Lake Camp

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

CLIA number 33D1013307 belongs to Timber Lake Camp in Shandaken, NY.

Certificate of Waiver, effective May 5, 2020, 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
May 5, 2020
Certificate expiration
March 26, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 6, 2003
Facility type
Other
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
33D1013307
Lab name
Timber Lake Camp
Address
240 Timber Lake Road, Shandaken, NY 12480
Phone
(516) 656-4200
Fax
(516) 656-4205

Annual test volume the lab reported

Waived tests
50

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

Related

Questions

What is the CLIA number for Timber Lake Camp in Shandaken?

33D1013307, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Timber Lake Camp hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 33D1013307 expire?

The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect May 5, 2020.

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