CLIA lab

CLIA 33D1019964: Great Lakes Physician PC

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

CLIA number 33D1019964 belongs to Great Lakes Physician PC in Dunkirk, NY.

Certificate of Waiver, effective June 2, 2025, expires June 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 of Waiver
Certificate effective
June 2, 2025
Certificate expiration
June 1, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 4, 2003
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
33D1019964
Lab name
Great Lakes Physician PC
Address
504 Central Avenue, Dunkirk, NY 14048
Phone
(716) 338-9200
Fax
(716) 338-9250

Annual test volume the lab reported

Waived tests
6,760

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

Affiliated CLIA numbers

Other labs in Dunkirk, NY

Related

Questions

What is the CLIA number for Great Lakes Physician PC in Dunkirk?

33D1019964, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Great Lakes Physician PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 33D1019964 expire?

The CMS file lists June 1, 2027 as the certificate expiration date; the certificate took effect June 2, 2025.

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