CLIA lab
CLIA 33D1057117: Ellenville Immediate Medical Care
Ellenville, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D1057117 belongs to Ellenville Immediate Medical Care in Ellenville, NY.
Certificate of Registration, effective February 16, 2026, expires February 15, 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 Registration
- Certificate effective
- February 16, 2026
- Certificate expiration
- February 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 3, 2006
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 33D1057117
- Lab name
- Ellenville Immediate Medical Care
- Additional name
- A Division of Middletown Medical PC
- Address
- 111 Shoprite Plaza, Shoprite Boulevard, Ellenville, NY 12428
- Phone
- (845) 647-6700
- Fax
- (845) 344-0966
Annual test volume the lab reported
- Waived tests
- 3,000
- Other nonwaived tests
- 7,000
- Total
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Ellenville, NY
- Child and Family Guidance Center AddictionCertificate of Waiver, Comprehensive outpatient rehab facility33D2156394
- Ellenville First Aid and Rescue Squad IncCertificate of Waiver, Ambulance33D2176576
- Ellenville Regional HospitalCertificate of Compliance, Hospital33D0163034
- Family Practice Center of EllenvilleCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center33D2059317
Related
Questions
What is the CLIA number for Ellenville Immediate Medical Care in Ellenville?
33D1057117, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ellenville Immediate Medical Care hold?
A Certificate of Registration, according to the CMS file.
When does CLIA 33D1057117 expire?
The CMS file lists February 15, 2028 as the certificate expiration date; the certificate took effect February 16, 2026.