CLIA lab
CLIA 33D2055123: William M Tucker, MD, PLLC
Fayetteville, NY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 33D2055123 belongs to William M Tucker, MD, PLLC in Fayetteville, NY.
Certificate of Waiver, effective March 6, 2025, expires March 5, 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
- March 6, 2025
- Certificate expiration
- March 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 6, 2013
- 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
- 33D2055123
- Lab name
- William M Tucker, MD, PLLC
- Address
- 4000 Medical Center Drive, Suite 207, Fayetteville, NY 13066
- Phone
- (315) 637-1010
- Fax
- (315) 637-2010
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for William M Tucker, MD, PLLC in Fayetteville?
33D2055123, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does William M Tucker, MD, PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 33D2055123 expire?
The CMS file lists March 5, 2027 as the certificate expiration date; the certificate took effect March 6, 2025.