CLIA lab
CLIA 33D2004706: Southern Tier Pediatrics Practice, PC
Randolph, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D2004706 belongs to Southern Tier Pediatrics Practice, PC in Randolph, NY.
Certificate of Waiver, effective March 11, 2026, expires March 10, 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 Waiver
- Certificate effective
- March 11, 2026
- Certificate expiration
- March 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 11, 2010
- 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
- 33D2004706
- Lab name
- Southern Tier Pediatrics Practice, PC
- Additional name
- (Randolph)
- Address
- 117 Main Street, Randolph, NY 14772
- Phone
- (716) 661-9730
- Fax
- (716) 661-9732
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Randolph, NY
- Erika Connor LLPCertificate of Waiver, Physician office33D0967465
- New Directions Youth and Family Services IncCertificate of Waiver, Comprehensive outpatient rehab facility33D2176123
- Randolph Central School DistrictCertificate of Waiver, School or student health service33D2207235
- Randolph Regional EMS CorpCertificate of Waiver, Ambulance33D2261897
Related
Questions
What is the CLIA number for Southern Tier Pediatrics Practice, PC in Randolph?
33D2004706, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Tier Pediatrics Practice, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D2004706 expire?
The CMS file lists March 10, 2028 as the certificate expiration date; the certificate took effect March 11, 2026.