CLIA lab
CLIA 33D1014992: Adelaide L Masakayan MD Pediatrics PC
Port Jefferson Station, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D1014992 belongs to Adelaide L Masakayan MD Pediatrics PC in Port Jefferson Station, NY.
Certificate of Waiver, effective July 22, 2025, expires July 21, 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
- July 22, 2025
- Certificate expiration
- July 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 22, 2003
- 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
- 33D1014992
- Lab name
- Adelaide L Masakayan MD Pediatrics PC
- Address
- 112 Terryville Road, Port Jefferson Station, NY 11776
- Phone
- (631) 209-2827
- Fax
- (631) 209-2829
Annual test volume the lab reported
- Waived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Adelaide L Masakayan MD Pediatrics PC in Port Jefferson Station?
33D1014992, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Adelaide L Masakayan MD Pediatrics PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D1014992 expire?
The CMS file lists July 21, 2027 as the certificate expiration date; the certificate took effect July 22, 2025.