CLIA lab

CLIA 33D1079653: Sisselman Medical Group - Massapequa

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

CLIA number 33D1079653 belongs to Sisselman Medical Group - Massapequa in Massapequa, NY.

Certificate of Waiver, effective November 23, 2015, 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
November 23, 2015
Certificate expiration
March 26, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 5, 2008
Facility type
Physician office
Ownership (control type)
Proprietary
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
33D1079653
Lab name
Sisselman Medical Group - Massapequa
Address
627 Broadway - Suite 1, Massapequa, NY 11758
Phone
(516) 308-4040
Fax
(516) 804-6386

Annual test volume the lab reported

Waived tests
8,000

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

Other labs in Massapequa, NY

Related

Questions

What is the CLIA number for Sisselman Medical Group - Massapequa in Massapequa?

33D1079653, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Sisselman Medical Group - Massapequa hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 33D1079653 expire?

The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect November 23, 2015.

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