CLIA lab
CLIA 33D1039535: Hany G Nissiem Family Medicine PLLC
Brockport, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D1039535 belongs to Hany G Nissiem Family Medicine PLLC in Brockport, NY.
Certificate of Waiver, effective September 29, 2026, expires September 28, 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
- September 29, 2026
- Certificate expiration
- September 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 18, 2005
- 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
- 33D1039535
- Lab name
- Hany G Nissiem Family Medicine PLLC
- Address
- 6565 Fourth Section Road, Suite 300, Brockport, NY 14420
- Phone
- (585) 395-0620
- Fax
- (585) 395-0622
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 Brockport, NY
- Brockport Internal Medicine PCCertificate of Waiver, Physician office33D0171600
- Brockport Medical Care, PLLCCertificate of Waiver, Physician office33D2060532
- Brockport Optometry, PCCertificate of Waiver, Physician office33D2113966
- Brockport Vine Medical PCCertificate of Waiver, Physician office33D2177268
- CVS Pharmacy No 05123Certificate of Waiver, Pharmacy33D2187453
- Center for UrologyCertificate for Provider-Performed Microscopy Procedures, Physician office33D0173791
- Elderwood of Lakeside at BrockportCertificate of Waiver, Skilled nursing or nursing facility33D0654836
- Evergreen PlaceCertificate of Waiver, Assisted living facility33D2151479
- Oak Orchard Community Health Center IncCertificate of Waiver, Community clinic33D0171633
- Suny Brockport Student Health CenterCertificate for Provider-Performed Microscopy Procedures, School or student health service33D0677045
Related
Questions
What is the CLIA number for Hany G Nissiem Family Medicine PLLC in Brockport?
33D1039535, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hany G Nissiem Family Medicine PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D1039535 expire?
The CMS file lists September 28, 2028 as the certificate expiration date; the certificate took effect September 29, 2026.