CLIA lab

CLIA 33D2064399: Kathleen Vine MD PC

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

CLIA number 33D2064399 belongs to Kathleen Vine MD PC in Breezy Point, NY.

Certificate of Compliance, effective June 23, 2024, expiration date September 30, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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 Compliance
Certificate effective
June 23, 2024
Certificate expiration
September 30, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
August 20, 2013
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
33D2064399
Lab name
Kathleen Vine MD PC
Additional name
DBA Breezy Point Dermatology
Address
204-08 Rockaway Point Boulevard, Breezy Point, NY 11697
Phone
(646) 421-6064
Fax
(646) 843-4701

Annual test volume the lab reported

Other nonwaived tests
150

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

Affiliated CLIA numbers

Other labs in Breezy Point, NY

Related

Questions

What is the CLIA number for Kathleen Vine MD PC in Breezy Point?

33D2064399, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kathleen Vine MD PC hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 33D2064399 expire?

The CMS file lists September 30, 2026 as the certificate expiration date; the certificate took effect June 23, 2024.

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