CLIA lab
CLIA 33D1041586: Li Complementary & Family Medical Care PC
Lake Grove, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D1041586 belongs to Li Complementary & Family Medical Care PC in Lake Grove, NY.
Certificate of Waiver, effective June 7, 2025, expires June 6, 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 7, 2025
- Certificate expiration
- June 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 7, 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
- 33D1041586
- Lab name
- Li Complementary & Family Medical Care PC
- Address
- 112 Alexander Avenue, Suite B, Lake Grove, NY 11755
- Phone
- (631) 265-8258
- Fax
- (631) 265-8256
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 Lake Grove, NY
- City Medical of Upper East Side PLLCCertificate of Waiver, Physician office33D2072095
- Lake Grove Pediatrics, PCCertificate of Waiver, Physician office33D2027000
- Lake Grove Senior Center, LLCCertificate of Waiver, Assisted living facility33D2205594
- North Shore Hematology Oncology Associates PCCertificate of Waiver, Physician office33D2243103
- Northwell Gohealth Urgent Care - Lake GroveCertificate of Waiver, Community clinic33D2288898
- Stony Brook Children's ServiceCertificate for Provider-Performed Microscopy Procedures, Ancillary test site33D0993508
- Stony Brook Family and PreventativeCertificate for Provider-Performed Microscopy Procedures, Other33D0718507
- Stony Brook Orthopaedic AssociatesCertificate of Waiver, Physician office33D2086199
- Stony Brook Surgical Associates UfpcCertificate of Waiver, Ancillary test site33D2017797
- Stony Brook Urology PCCertificate of Waiver, Ancillary test site33D0954449
Related
Questions
What is the CLIA number for Li Complementary & Family Medical Care PC in Lake Grove?
33D1041586, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Li Complementary & Family Medical Care PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D1041586 expire?
The CMS file lists June 6, 2027 as the certificate expiration date; the certificate took effect June 7, 2025.