CLIA lab
CLIA 33D1095777: Olusegun M Adeonigbagbe MD PC
Hollis, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D1095777 belongs to Olusegun M Adeonigbagbe MD PC in Hollis, NY.
Certificate of Waiver, effective February 18, 2025, expires February 17, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- February 18, 2025
- Certificate expiration
- February 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 18, 2009
- 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
- 33D1095777
- Lab name
- Olusegun M Adeonigbagbe MD PC
- Address
- 19203 Jamaica Ave, Hollis, NY 11423
- Phone
- (718) 217-7744
- Fax
- (718) 217-7233
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 Hollis, NY
- Body By Yashi Gordon RPN PLLCCertificate of Waiver, Other practitioner33D2348192
- Forest Hills GastroenterologyCertificate of Compliance, Physician office33D1001097
- Healthmed Diagnostic and Treatment CenterCertificate of Waiver, Ancillary test site33D2232270
- Hollis Park Manor Nursing Home IncCertificate of Waiver, Skilled nursing or nursing facility33D0904216
- Holliswood Center for Rehab andCertificate of Waiver, Skilled nursing or nursing facility33D2028661
- Howard W Bradnock MD PCCertificate of Waiver, Physician office33D1097126
- N K Shah Medical, PCCertificate of Waiver, Physician office33D2107016
- Supreme Medical Care PLLCCertificate of Waiver, Physician office33D2094506
Related
Questions
What is the CLIA number for Olusegun M Adeonigbagbe MD PC in Hollis?
33D1095777, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Olusegun M Adeonigbagbe MD PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D1095777 expire?
The CMS file lists February 17, 2027 as the certificate expiration date; the certificate took effect February 18, 2025.