CLIA lab
CLIA 33D1049131: John Mulawka DO PC
Derby, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D1049131 belongs to John Mulawka DO PC in Derby, NY.
Certificate of Waiver, effective December 23, 2025, expires December 22, 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
- December 23, 2025
- Certificate expiration
- December 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 23, 2005
- 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
- 33D1049131
- Lab name
- John Mulawka DO PC
- Additional name
- DBA Derby Pediatrics
- Address
- 6763 Erie Road, Derby, NY 14047
- Phone
- (716) 947-2222
- Fax
- (716) 947-2223
Annual test volume the lab reported
- Waived tests
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Derby, NY
- General Physician PCCertificate for Provider-Performed Microscopy Procedures, Physician office33D0898274
- Great Lakes Physician PCCertificate of Waiver, Physician office33D2002112
- Highland Hose Vol Fire Co IncCertificate of Waiver, Ambulance33D2326039
- Lakeshore Family MedicineCertificate of Waiver, Physician office33D0928737
- Wny Medical, PCCertificate of Waiver, Physician office33D0901416
Related
Questions
What is the CLIA number for John Mulawka DO PC in Derby?
33D1049131, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does John Mulawka DO PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D1049131 expire?
The CMS file lists December 22, 2027 as the certificate expiration date; the certificate took effect December 23, 2025.