CLIA lab
CLIA 33D1078901: Mather Hospital Northwell Health Wound
Port Jefferson, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D1078901 belongs to Mather Hospital Northwell Health Wound in Port Jefferson, NY.
Certificate of Waiver, effective January 17, 2008, expires March 26, 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
- January 17, 2008
- Certificate expiration
- March 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 17, 2008
- Facility type
- Ambulatory surgery center
- Ownership (control type)
- Private
- Lab classification
- CLIA exempt laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 33D1078901
- Lab name
- Mather Hospital Northwell Health Wound
- Additional name
- Treatment Center Port Jefferson Station
- Address
- 5225-53 Rte 347 - Bldg 12, Port Jefferson, NY 11777
- Phone
- (631) 474-4590
- Fax
- (631) 474-4594
Annual test volume the lab reported
- Waived tests
- 15
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Port Jefferson, NY
- Advanced Gastroenterology & Endoscopy, PCCertificate of Compliance, Physician office33D2058269
- Brookhaven Gastroenterology Associates PCCertificate of Waiver, Physician office33D2273244
- CS Medical Associates PCCertificate of Waiver, Physician office33D2341406
- Good Samaritan Unviersity HospitalCertificate of Compliance, Hospital33D0158845
- Good Shepherd Hospice Inpatient CenterCertificate of Waiver, Hospice33D2058292
- Harbor View Medical Services PCCertificate of Waiver, Ancillary test site33D2109161
- Jim Best DO PCCertificate of Waiver, Physician office33D2018029
- Mark Di Benedetto MDCertificate of Waiver, Physician office33D0158777
- Mather Chemical Dependency ClinicCertificate of Waiver, Other33D2211199
- Mather Hospital Northwell HealthCertificate of Compliance, Hospital33D0158831
Related
Questions
What is the CLIA number for Mather Hospital Northwell Health Wound in Port Jefferson?
33D1078901, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mather Hospital Northwell Health Wound hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D1078901 expire?
The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect January 17, 2008.