CLIA lab

CLIA 33D1043448: Carmen Bautista-Dator MD

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

CLIA number 33D1043448 belongs to Carmen Bautista-Dator MD in Oswego, NY.

Certificate of Waiver, effective July 25, 2025, expires July 24, 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 25, 2025
Certificate expiration
July 24, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 25, 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
33D1043448
Lab name
Carmen Bautista-Dator MD
Address
177 West 4th Street, Oswego, NY 13126
Phone
(315) 343-2151
Fax
(315) 343-2100

Annual test volume the lab reported

Waived tests
100

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

Other labs in Oswego, NY

Related

Questions

What is the CLIA number for Carmen Bautista-Dator MD in Oswego?

33D1043448, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Carmen Bautista-Dator MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 33D1043448 expire?

The CMS file lists July 24, 2027 as the certificate expiration date; the certificate took effect July 25, 2025.

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