CLIA lab

CLIA 33D2017797: Stony Brook Surgical Associates Ufpc

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

CLIA number 33D2017797 belongs to Stony Brook Surgical Associates Ufpc in Lake Grove, NY.

Certificate of Waiver, effective December 17, 2010, 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
December 17, 2010
Certificate expiration
March 26, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 17, 2010
Facility type
Ancillary test site
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
33D2017797
Lab name
Stony Brook Surgical Associates Ufpc
Address
4 Smith Haven Mall - Ste 200, Lake Grove, NY 11755
Phone
(631) 444-4545
Fax
(631) 444-4707

Annual test volume the lab reported

Waived tests
500

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

Other labs in Lake Grove, NY

Related

Questions

What is the CLIA number for Stony Brook Surgical Associates Ufpc in Lake Grove?

33D2017797, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Stony Brook Surgical Associates Ufpc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 33D2017797 expire?

The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect December 17, 2010.

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