CLIA lab
CLIA 33D2040194: Dick Van Dyke Addiction Treatment Center
Willard, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D2040194 belongs to Dick Van Dyke Addiction Treatment Center in Willard, NY.
Certificate of Waiver, effective April 25, 2012, 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
- April 25, 2012
- Certificate expiration
- March 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 25, 2012
- Facility type
- Other
- Ownership (control type)
- Government, state
- 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
- 33D2040194
- Lab name
- Dick Van Dyke Addiction Treatment Center
- Address
- 7116 County Road 132 - Bldg 112, Willard, NY 14588
- Phone
- (315) 835-6136
- Fax
- (315) 835-6136
Annual test volume the lab reported
- Waived tests
- 3,750
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Dick Van Dyke Addiction Treatment Center in Willard?
33D2040194, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dick Van Dyke Addiction Treatment Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D2040194 expire?
The CMS file lists March 26, 2027 as the certificate expiration date; the certificate took effect April 25, 2012.